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NPI Code Detail

MEDICARE: CENTRUM MEDICAL HOLDINGS, LLC

MEDICARE: CENTRUM MEDICAL HOLDINGS, 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
1261Q00000XClinic/Center
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1376138339
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRUM MEDICAL HOLDINGS, LLC
Provider Business Mailing Address
First Line : 9250 NW 36TH ST STE 420
Second Line :
City : DORAL
State : FL
Zip : 33178-2775
Country : US
Telephone Number : 305-266-2929
Fax Number : 786-558-0242
Provider Business Practice Location Address
First Line : 1460 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4617
Country : US
Telephone Number : 305-266-2929
Fax Number : 786-558-0242
Authorized Official
Title or Position : CEO
Name : TOMAS OROZCO
Credential :
Telephone Number : 305-266-2929
Provider Enumeration Date : 03/02/2021
Last Update Date : 12/02/2025

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Directions to “CENTRUM MEDICAL HOLDINGS, LLC ” Practice Location

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