# BMC MEDICAL GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891466264
- **Authorized official:** MARIO R MENDEZ (MANAGER)
- **Authorized official phone:** (786) 295-0479

## Contact information

- **Practice address:** 14201 SW 120TH ST STE 103, MIAMI, FL 33186-7662
- **Practice address phone:** (305) 517-3000
- **Practice address fax:** (053) 517-1293
- **Mailing address:** 14221 SW 120TH ST STE 214, MIAMI, FL 33186-4224
- **Mailing address phone:** (786) 206-8700
- **Mailing address fax:** (786) 206-8701

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2021
- **Last updated:** 11/15/2022
