Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Buddy' S Place Mg LLC

Organization Assisted Living Facility · NPI 1073800603

Buddy' S Place Mg LLC is an Assisted Living Facility in Miami Gardens, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5370 NW 172nd St
Miami Gardens, FL 33055-4062
Phone: (305) 318-6593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 11374 (FL)

Record details

NPI number1073800603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Revilbray Revilla — Owner · (305) 318-6593
NPI enumeratedJuly 4, 2011
Last updated in NPPESJuly 4, 2011
Mailing address5370 Nw 172nd St, Miami Gardens, FL 33055-4062

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