# PALM SPRINGS MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1558812560
- **Authorized official:** MICHAEL J LANDRY (MANAGING PARTNER)
- **Authorized official phone:** (786) 233-8722

## Contact information

- **Practice address:** 1490 W 49TH PL, SUITE 506, HIALEAH, FL 33012-3148
- **Practice address phone:** (305) 692-9009
- **Practice address fax:** (305) 541-4220
- **Mailing address:** 1380 NE MIAMI GARDENS DR, SUITE 210, N MIAMI BEACH, FL 33179-4707
- **Mailing address phone:** (305) 692-9009
- **Mailing address fax:** (305) 541-4220

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2016
- **Last updated:** 10/15/2016