Espaillat Medical Group Pllc

LBN: Espaillat Medical Group Pllc
Espaillat Medical Group Pllc is an health care organization with primary practice located at 12002 Sw 128Th Ct Ste 204 , Miami FL 33186-4643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Espaillat Medical Group Pllc can be contacted via phone (305) 234-8264, or through Espaillat Prestol, Diego via phone (305) 234-8264.

Contact Information

Primary practice address
12002 Sw 128Th Ct Ste 204 Miami FL 33186-4643
Phone: (305) 234-8264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Espaillat Prestol, Diego Doctor of Medicine (MD)
Phone: (305) 234-8264

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1215563861
LBN Legal business name Espaillat Medical Group Pllc
DBA Doing business as
Authorized official Espaillat Prestol, Diego Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2020
Last updated Mar 16th, 2020 - about 4 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 1215563861 NPPES
Florida Other ME128770 MEDICAL LICENSE

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