# MIAMI MEDICAL ALLIANCE LLC

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

## Provider details

- **NPI number:** 1740905819
- **Authorized official:** DYLAN FIELD (VP OF BUSINESS DEVELOPMENT)
- **Authorized official phone:** (201) 566-2479

## Contact information

- **Practice address:** 116 W BLOOMINGDALE AVE, BRANDON, FL 33511-7430
- **Practice address phone:** (201) 566-2479
- **Mailing address:** 2729 STATE ROAD 580, CLEARWATER, FL 33761-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 10/11/2022
