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Organization

HI 5 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN CARLOS GOMEZ (PRESIDENT)
(754) 206-8240
Entity
Organization

Contact information

Practice address
5901 NW 151ST ST STE 116, MIAMI LAKES, FL 33014-2454
(754) 206-8240
(954) 824-2440
Mailing address
5901 NW 151ST ST STE 116, MIAMI LAKES, FL 33014-2454
(754) 206-8240
(954) 824-2440

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
163WI0600X
Infection Control Registered Nurse
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208600000X
Surgery Physician
208D00000X
General Practice Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
12/27/2025
Last updated
12/27/2025
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