# DEPARTMENT OF HOMELAND SECURITY, U.S.COAST GUARD

> 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:** 1912021510
- **Authorized official:** CRAIG MONK (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (305) 535-4386

## Contact information

- **Practice address:** 100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
- **Practice address phone:** (305) 535-4535
- **Practice address fax:** (305) 535-4351
- **Mailing address:** 100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
- **Mailing address phone:** (305) 535-4535
- **Mailing address fax:** (305) 535-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 05/27/2008