=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730550302
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIAMI GLOBAL OB/GYN, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2015
-----------------------------------------------------
Last Update Date | 03/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7150 W 20TH AVE STE 312
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33016-5532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-694-9800
-----------------------------------------------------
Fax | 305-694-9881
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7150 W 20TH AVE STE 312
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33016-5532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-694-9800
-----------------------------------------------------
Fax | 305-694-9881
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. GUILLERMO KOHN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 608-216-5125
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | ME110457
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------