Organization
CONSTELLATION MEDICAL GROUP LLC
Active
Parent organization
CONSTELLATION MEDICAL GROUP LLC
Other names
One Health Medical Center-North Miami Beach
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSTELLATION MEDICAL GROUP LLC
Authorized official
DR. NICOLAS ALVAREZ MD (CEO)
(786) 552-7800
Entity
Organization
Contact information
Practice address
1850 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4867
(786) 552-7800
Mailing address
1205 SW 37TH AVE, MIAMI, FL 33135-4226
(786) 552-7800
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
02/09/2022
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