# SELENE MEDICAL GROUP, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154284131
- **Authorized official:** ZACHARY ADAMS (PRESIDENT)
- **Authorized official phone:** (804) 214-6604

## Contact information

- **Practice address:** 454 NE 93RD ST., MIAMI, FL 33138
- **Practice address phone:** (804) 214-6604
- **Mailing address:** 11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5017
- **Mailing address phone:** (804) 214-6604
- **Mailing address fax:** (571) 701-2769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025