# MB MEDICAL GROUP, P.A.

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

## Provider details

- **NPI number:** 1285419655
- **Authorized official:** DR. MARIA LIZA EDEN GIAMMARIA MD (PRESIDENT)
- **Authorized official phone:** (305) 713-8373

## Contact information

- **Practice address:** 3191 GRAND AVE \# 30, MIAMI, FL 33233-0020
- **Practice address phone:** (305) 713-8373
- **Mailing address:** 3191 GRAND AVE \# 30, MIAMI, FL 33233-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023