MEDICARE: THE DOCTORS OFFICE LLC

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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1255349544	OTHER	FL	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225508476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DOCTORS OFFICE LLC

Provider Business Mailing Address
First Line	:	19654 NW 27TH AVE STE B
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2522
Country	:	US
Telephone Number	:	305-974-4473
Fax Number	:	305-974-4594

Provider Business Practice Location Address
First Line	:	19654 NW 27TH AVE STE B
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2522
Country	:	US
Telephone Number	:	305-974-4473
Fax Number	:	305-974-4594

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. HEATHER G.P. DRUMMOND
Credential	:	DNP, APRN, FNP-BC
Telephone Number	:	305-974-4473

Provider Enumeration Date	:	11/30/2018
Last Update Date	:	01/13/2021

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Directions to “THE DOCTORS OFFICE LLC ” Practice Location

Language	Start Address	Practice Location

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