MEDICARE: CMB CONSULTING GROUP CORP

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205543295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMB CONSULTING GROUP CORP

Provider Business Mailing Address
First Line	:	5201 SW 74TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-5952
Country	:	US
Telephone Number	:	410-967-1723
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 SW 3RD AVE STE 600
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2338
Country	:	US
Telephone Number	:	410-967-1723
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	BRENDA M ACOSTA
Credential	:	MD
Telephone Number	:	410-967-1723

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	10/31/2022

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Directions to “CMB CONSULTING GROUP CORP ” Practice Location

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