# BAILEY MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1184906729
- **Authorized official:** DR. TREVOR BAILEY D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (305) 860-2488

## Contact information

- **Practice address:** 2000 S DIXIE HWY, \#105B, MIAMI, FL 33133-2456
- **Practice address phone:** (305) 860-2488
- **Practice address fax:** (305) 285-2422
- **Mailing address:** 2000 S DIXIE HWY, \#105B, MIAMI, FL 33133-2456
- **Mailing address phone:** (305) 860-2488
- **Mailing address fax:** (305) 285-2422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS 9465 | FL | Yes |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 09/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1417969239 | PERSONAL NPI | — |