Organization
MEDGROUP MEDICAL CENTER LLC
Active
Organization
MEDGROUP MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO VERA (MGRM)
(305) 250-5600
Entity
Organization
Contact information
Practice address
5200 SW 8TH ST, SUITE 150, CORAL GABLES, FL 33134-2300
(305) 250-5600
(305) 250-5688
Mailing address
5200 SW 8TH ST, SUITE 150, CORAL GABLES, FL 33134-2300
(305) 761-6685
(305) 250-5688
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
AHCA HCC 9140
FL
Other
Enumeration date
05/12/2011
Last updated
04/01/2025
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