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Organization
MIAMI MED GROUP INC
Active
Organization
MIAMI MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILIO BRAVO APRN (PRESIDENT/OWNER)
(786) 206-8521
Entity
Organization
Contact information
Practice address
12700 SW 122ND AVE, SUITE 105, MIAMI, FL 33186-5271
(786) 206-8521
(786) 741-2636
Mailing address
12700 SW 122ND AVE, SUITE 105, MIAMI, FL 33186-5271
(786) 206-8521
(786) 741-2636
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
08/06/2021
Last updated
11/02/2023
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