Organization
MIDTOWN MIAMI MEDICAL GROUP, LLC
Active
Organization
MIDTOWN MIAMI MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RYAN WALKER (PRESIDENT)
(305) 603-8990
Entity
Organization
Contact information
Practice address
3800 N MIAMI AVE, MIAMI, FL 33127-2906
(305) 603-8990
(305) 603-8970
Mailing address
3800 N MIAMI AVE, MIAMI, FL 33127-2906
(305) 603-8990
(305) 603-8970
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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