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ACCESS MEDICAL GROUP OF PEMBROKE PINES LLC NPI 1235876004


NPI Information

NPI: 1235876004
Provider Name: ACCESS MEDICAL GROUP OF PEMBROKE PINES, LLC

Doing Business As: COMMUNITY MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2270093

Address:
10060 NW 7TH ST UNIT 10
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 606-0110
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ACCESS MEDICAL GROUP OF PEMBROKE PINES, LLC is a family medicine in Pembroke Pines, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ACCESS MEDICAL GROUP OF PEMBROKE PINES, LLC NPI is 1235876004. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Medical Group.

The provider's business location address is:

10060 NW 7TH ST UNIT 10
PEMBROKE PINES, FL
ZIP 33024-158
Phone: (954) 606-0110
Fax: (954) 495-4162

The provider's authorized official is Rayny Ramirez .
The authorized official title is President and has the following contact phone number (786) 322-7333.

The CLIA number assigned to this NPI record is 10D2270093 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2022 and was last updated on 10/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1117583400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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