Nangi Shores Medical Group

LBN: Nangi Shores Medical Group
Nangi Shores Medical Group is an health care organization with primary practice located at 9999 Ne 2Nd Ave Ste 214 , Miami Shores FL 33138-2345. The organization recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as the primary health care specialty. Nangi Shores Medical Group can be contacted via phone (305) 384-8789, or through Dufreny, Alphonse G via phone (305) 756-9392.

Contact Information

Primary practice address
9999 Ne 2Nd Ave Ste 214 Miami Shores FL 33138-2345
Phone: (305) 384-8789
Fax: (786) 953-4169
Website:
Map and Directions
Authorized official contact:
Name: Dufreny, Alphonse G Doctor of Medicine (MD)
Phone: (305) 756-9392

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X ME85072 Florida

Profile Details

NPI number 1063769412
LBN Legal business name Nangi Shores Medical Group
DBA Doing business as
Authorized official Dufreny, Alphonse G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2012
Last updated Aug 4th, 2012 - about 13 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 1063769412 NPPES
Florida Other 1356311822 NPI
Florida MEDICAID 267153100 NPI

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