# COMMUNITY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1841354883
- **Authorized official:** MARIA MORALES (PRESIDENT)
- **Authorized official phone:** (305) 825-3834

## Contact information

- **Practice address:** 4765 W 8TH AVE, HIALEAH, FL 33012-3554
- **Practice address phone:** (305) 825-3834
- **Practice address fax:** (305) 825-3834
- **Mailing address:** 4765 W 8TH AVE, HIALEAH, FL 33012-3554
- **Mailing address phone:** (305) 825-3834
- **Mailing address fax:** (305) 825-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | HCC5975 | FL | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020