305 Medical Centers Llc

LBN: 305 Medical Centers Llc
305 Medical Centers Llc is an health care organization with primary practice located at 1303 Sw 107Th Ave , Miami FL 33174-2515. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. 305 Medical Centers Llc can be contacted via phone (305) 363-6333, or through Reyes, Roger via phone (786) 253-7699.

Contact Information

Primary practice address
1303 Sw 107Th Ave Miami FL 33174-2515
Phone: (305) 363-6333
Fax: (786) 461-1033
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Roger
Phone: (786) 253-7699

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1831665694
LBN Legal business name 305 Medical Centers Llc
DBA Doing business as
Authorized official Reyes, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2018
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831665694 NPPES
Florida MEDICAID 274535600

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