Healthcare Provider Details
I. General information
NPI: 1962109611
Provider Name (Legal Business Name): METROPOLITAN HEALTH CARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6510 N UNIVERSITY DR
TAMARAC FL
33321-4001
US
IV. Provider business mailing address
6510 N UNIVERSITY DR
TAMARAC FL
33321-4001
US
V. Phone/Fax
- Phone: 954-417-4499
- Fax: 954-210-8074
- Phone: 954-417-4499
- Fax: 954-210-8074
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOEL
TEJEDA
Title or Position: PRESIDENT
Credential:
Phone: 954-496-5417