# FAITH MEDICAL GROUP INC

> 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:** 1902177280
- **Authorized official:** MR. RAFAEL DEULOFEU OWNER (PRESIDENT)
- **Authorized official phone:** (305) 634-9742

## Contact information

- **Practice address:** 1840 W 49 STREET, SUITE 103, HIALEAH, FL 33012
- **Practice address phone:** (305) 634-9742
- **Practice address fax:** (605) 634-9744
- **Mailing address:** 1840 W 49 STREET, SUITE 103, HIALEAH, FL 33012
- **Mailing address phone:** (305) 634-9742
- **Mailing address fax:** (605) 634-9744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME82456 | FL | Yes |
| 225100000X | Physical Therapist | PT14991 | FL | — |
| 225700000X | Massage Therapist | MA44576 | FL | — |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 01/19/2012