# CAREVANTAGE MEDICAL CENTERS OF MIAMI SHORES, LLC

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

## Provider details

- **NPI number:** 1427326487
- **Authorized official:** ROBERT THORNE (OWNER)
- **Authorized official phone:** (305) 758-7979

## Contact information

- **Practice address:** 9726-30 NE 2 AVE, MIAMI SHORES, FL 33138
- **Practice address phone:** (305) 758-7979
- **Mailing address:** 9726-30 NE 2 AVE, MIAMI SHORES, FL 33138
- **Mailing address phone:** (305) 758-7979

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 12/06/2011