# CHOICE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choice Medical Group LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265295562
- **Authorized official:** SUHARMY JIMENEZ (MANAGER)
- **Authorized official phone:** (305) 764-6417

## Contact information

- **Practice address:** 4445 W 16TH AVE STE 200, HIALEAH, FL 33012-7190
- **Practice address phone:** (786) 691-1110
- **Mailing address:** 4445 W 16TH AVE STE 200, HIALEAH, FL 33012-7190
- **Mailing address phone:** (786) 691-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024