Healthcare Provider Details

I. General information

NPI: 1225096985
Provider Name (Legal Business Name): MEDICAL MULTI SPECIALTY GRP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8391 W OAKLAND PK BLVD
SUNRISE FL
33351
US

IV. Provider business mailing address

8391 W OAKLAND PK BLVD
SUNRISE FL
33351
US

V. Phone/Fax

Practice location:
  • Phone: 954-749-1616
  • Fax: 954-749-1639
Mailing address:
  • Phone: 954-749-1616
  • Fax: 954-749-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN F LINDEN
Title or Position: PRESIDENT
Credential: MD
Phone: 954-749-1616