PHY-MED MILLENIUM MEDICAL LC NPI 1396787024

NPI Information

  • NPI: 1396787024
  • Provider Name: PHY-MED MILLENIUM MEDICAL LC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 351 NW 42ND AVE
    SUITE 103
    MIAMI, FL
    ZIP 33126
  • Phone: (305) 642-1246

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NPI Details

PHY-MED MILLENIUM MEDICAL LC is a surgery in Miami, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PHY-MED MILLENIUM MEDICAL LC NPI is 1396787024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

351 NW 42ND AVE
SUITE 103
MIAMI, FL
ZIP 33126-683
Phone: (305) 642-1246
Fax: (305) 631-1419

The provider's authorized official is Gustavo G Leon .
The authorized official title is Medical Director and has the following contact phone number (305) 642-1246.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 7/11/2007.

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
1208600000XSurgeryME 29633FLORIDAYes

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
1K3266MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 3/30/2025

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