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Organization

BAILEY MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TREVOR BAILEY D.O. (MEDICAL DIRECTOR)
(305) 860-2488
Entity
Organization

Contact information

Practice address
2000 S DIXIE HWY, #105B, MIAMI, FL 33133-2456
(305) 860-2488
(305) 285-2422
Mailing address
2000 S DIXIE HWY, #105B, MIAMI, FL 33133-2456
(305) 860-2488
(305) 285-2422

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS 9465
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417969239
PERSONAL NPI
Enumeration date
09/09/2011
Last updated
09/09/2011
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