Organization
FAMILY MEDICAL GROUP WPB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA COLLADO (DIRECTOR OF OPERATIONS)
(786) 971-8016
Entity
Organization
Contact information
Practice address
1280 OLD CONGRESS AVE STE 217, WEST PALM BEACH, FL 33409-6377
(561) 316-0226
Mailing address
12391 SW 130TH ST, MIAMI, FL 33186-6208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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