# FLORIDA COMPASSIONATE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLORIDA COMPASSIONATE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447951397
- **Authorized official:** AL BERRY (CREDENTIALING MANAGER)
- **Authorized official phone:** (800) 000-0000

## Contact information

- **Practice address:** 1161 NE 202ND ST, MIAMI, FL 33179-2621
- **Practice address phone:** (786) 532-6103
- **Mailing address:** 1161 NE 202ND ST, MIAMI, FL 33179-2621
- **Mailing address phone:** (786) 532-6103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2023
- **Last updated:** 02/12/2026