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NPI Code Detail

MEDICARE: MIAMI BEACH MEDICAL CONSULTANTS, LLC.

MEDICARE: MIAMI BEACH MEDICAL CONSULTANTS, 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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207RC0000XCardiovascular Disease Physician
4208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1457945750
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI BEACH MEDICAL CONSULTANTS, LLC.
Provider Business Mailing Address
First Line : 1400 NW 107TH AVE STE 500
Second Line :
City : SWEETWATER
State : FL
Zip : 33172-2746
Country : US
Telephone Number : 305-534-0076
Fax Number : 844-742-6552
Provider Business Practice Location Address
First Line : 701 NW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33125-3012
Country : US
Telephone Number : 305-534-0076
Fax Number :
Authorized Official
Title or Position : CMO
Name : JOSE D SUAREZ
Credential :
Telephone Number : 305-534-0076
Provider Enumeration Date : 02/26/2021
Last Update Date : 10/30/2023

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