# MIAMI MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1831229897
- **Authorized official:** MR. JUAN F. JIMENEZ AP DOM (ADMINISTRATOR)
- **Authorized official phone:** (305) 445-0068

## Contact information

- **Practice address:** 4505 W FLAGLER ST, SUITE 101, MIAMI, FL 33134-1500
- **Practice address phone:** (305) 445-0048
- **Practice address fax:** (305) 569-0071
- **Mailing address:** 4505 W FLAGLER ST, SUITE 101, MIAMI, FL 33134-1500
- **Mailing address phone:** (305) 445-0048
- **Mailing address fax:** (305) 569-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 207Q00000X | FL | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 08/22/2020