305 Medical Centers LLC
Organization Active NPI Family Medicine Physician · Miami, FL
NPI 1831665694 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1831665694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- 305 MEDICAL CENTERS LLC
- Practice address
- 1303 SW 107TH Ave
Miami, FL 33174-2515 - Phone
- (305) 363-6333
- Fax
- (786) 461-1033
- NPI assigned
- Oct 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Roger Reyes
- Title
- Administrator
- Phone
- (786) 253-7699
National Provider Directory
Locations
1303 SW 107th Ave
Miami, FL 33174
Phone (305) 262-6070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
1303 SW 107TH Ave
Miami, FL 33174-2515
Mailing address
1303 SW 107TH Ave
Miami, FL 33174-2515
Phone (305) 363-6333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274535600 | Medicaid | FL |
Other providers in Miami, FL
- 2ND Chance at Life, LLC
- 3 Brothers Auto Leasing LLC
- 3 C'S Dimension Inc
- 305 Acumed & Orthosport
- 305 Medical Care Inc
- 305 Pharmacy Inc
- 305 Rehab Center Inc
- 305 Stitches, LLC
- 305 Therapy Center Corp
- 305Prime Nurse Registry Corp
All providers in Miami, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.