MEDICARE: PS MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	HCC 7280	FL

General Provider Information

NPI Number	:	1134136724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	12991 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4809
Country	:	US
Telephone Number	:	305-892-3383
Fax Number	:

Provider Business Practice Location Address
First Line	:	12991 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4809
Country	:	US
Telephone Number	:	305-892-3383
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICIA L SERIAL BIONDI
Credential	:
Telephone Number	:	786-260-2511

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/21/2022

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Directions to “PS MEDICAL CENTER ” Practice Location

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