# MAYFAIRE MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAYFAIRE MEDICAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790614097
- **Legal business name:** MAYFAIRE MEDICAL INC
- **Authorized official:** BRITTANY MARCIANTE (CLINIC MANAGER)
- **Authorized official phone:** (305) 747-3846

## Contact information

- **Practice address:** 777 CLEVELAND AVE SW STE 410, ATLANTA, GA 30315-7119
- **Practice address phone:** (305) 747-3846
- **Practice address fax:** (305) 717-7593
- **Mailing address:** 8390 W FLAGLER ST STE 201, MIAMI, FL 33144-2039
- **Mailing address phone:** (305) 747-3846
- **Mailing address fax:** (305) 717-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/14/2026
- **Last updated:** 05/14/2026