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FAITH MEDICAL CLINIC LLC NPI 1548567191


NPI Information

NPI: 1548567191
Provider Name: FAITH MEDICAL CLINIC LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
845 NW 119TH ST
SUITE B
NORTH MIAMI, FL
ZIP 33168
Phone: (305) 685-8001
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FAITH MEDICAL CLINIC LLC is a general practice in North Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FAITH MEDICAL CLINIC LLC NPI is 1548567191. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

845 NW 119TH ST
SUITE B
NORTH MIAMI, FL
ZIP 33168-336
Phone: (305) 685-8001
Fax: (305) 685-8024

The provider's authorized official is Shataria Bridges-moss .
The authorized official title is Office Manager and has the following contact phone number (305) 685-8001.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 2/17/2011.


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
1208VP0000XPain MedicinePain MedicineNo
2208D00000XGeneral PracticeYes

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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