MEDICARE: NEXUS MEDICAL CENTER OF MIAMI BEACH, 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

General Provider Information

NPI Number	:	1881103208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUS MEDICAL CENTER OF MIAMI BEACH, LLC

Provider Business Mailing Address
First Line	:	1914 NW 84TH AVE
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33126-1030
Country	:	US
Telephone Number	:	305-254-8900
Fax Number	:	305-254-8902

Provider Business Practice Location Address
First Line	:	400 ARTHUR GODFREY RD STE 200
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3523
Country	:	US
Telephone Number	:	305-254-8900
Fax Number	:	305-254-8902

Authorized Official
Title or Position	:	CHAIRMAN & CEO
Name	:	ROBERT MONTES
Credential	:
Telephone Number	:	305-254-8900

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	07/30/2020

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