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

Coffeestone Holdings

Organization Pediatrics Physician · NPI 1992273510

Coffeestone Holdings is a Pediatrics Physician in Miami Lakes, Florida. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

14505 Commerce Way Ste 800
Miami Lakes, FL 33016-1599
Phone: (305) 821-8861
Fax: (305) 821-8783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1992273510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martel Samuels — President · (361) 673-3111
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 13, 2018
Mailing address14505 Commerce Way Ste 800, Miami Lakes, FL 33016-1599

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