=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528989969
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAVARRO MEDICAL CENTERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2026
-----------------------------------------------------
Last Update Date | 07/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 584 NW UNIVERSITY BLVD STE 200
-----------------------------------------------------
City | PORT SAINT LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34986-2266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-251-0022
-----------------------------------------------------
Fax | 772-251-0021
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9611 SW 40TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33165-4030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-332-4577
-----------------------------------------------------
Fax | 786-332-4367
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MEDICAL DIRECTOR
-----------------------------------------------------
Name | ANIEL NAVARRO MARIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 786-332-4577
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------