Healthcare Provider Details

I. General information

NPI: 1699852020
Provider Name (Legal Business Name): MIAMI MEDICAL CONSULTANTS P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 SUNSET DR STE 209
SOUTH MIAMI FL
33143-4529
US

IV. Provider business mailing address

6701 SUNSET DR STE 209
SOUTH MIAMI FL
33143-4529
US

V. Phone/Fax

Practice location:
  • Phone: 305-669-0690
  • Fax: 305-669-8856
Mailing address:
  • Phone: 305-669-0690
  • Fax: 305-669-8856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME40002
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME40002
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME40002
License Number StateFL

VIII. Authorized Official

Name: ROBERT CHARLES CAVA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-669-0690