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NPI Code Detail

MEDICARE: POPULAR MEDICAL GROUP LLC

MEDICARE: POPULAR MEDICAL GROUP 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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1457691990
Entity Type Code : Organization
Provider Name (Legal Business Name) : POPULAR MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : 10700 N KENDALL DR
Second Line : 200
City : MIAMI
State : FL
Zip : 33176-1437
Country : US
Telephone Number : 305-270-7999
Fax Number : 305-270-6788
Provider Business Practice Location Address
First Line : 10700 N KENDALL DR
Second Line : 200
City : MIAMI
State : FL
Zip : 33176-1437
Country : US
Telephone Number : 305-270-7999
Fax Number : 305-270-6788
Authorized Official
Title or Position : ADMINISTRATION
Name : SUSIE GARCIA
Credential :
Telephone Number : 305-270-7999
Provider Enumeration Date : 02/20/2013
Last Update Date : 02/20/2013

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Directions to “POPULAR MEDICAL GROUP LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.