MEDICARE: INFINITY HEALTH COMMUNITY CLINIC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QC1500X	Community Health Clinic/Center
3	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1215732557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY HEALTH COMMUNITY CLINIC

Provider Business Mailing Address
First Line	:	99 NW 183RD ST STE 120
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-4518
Country	:	US
Telephone Number	:	305-490-6797
Fax Number	:	305-317-5284

Provider Business Practice Location Address
First Line	:	99 NW 183RD ST STE 120
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-4518
Country	:	US
Telephone Number	:	305-490-6797
Fax Number	:	305-317-5284

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THAMAR MAURICE
Credential	:	DNP, ARNP, FNP,PMHNP
Telephone Number	:	305-490-6797

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	02/19/2025

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Directions to “INFINITY HEALTH COMMUNITY CLINIC ” Practice Location

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