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

Coral Reef Medical Group LLC

Organization Family Medicine Physician · NPI 1982870143

Coral Reef Medical Group LLC is a Family Medicine Physician in Homestead, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
3
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

30334 Old Dixie Hwy
Homestead, FL 33033-3215
Phone: (786) 243-0149
Fax: (786) 234-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME57421 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ARNP619302 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA9103866 (FL)

Record details

NPI number1982870143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Blanco — Owner · (786) 243-0149
NPI enumeratedMay 7, 2008
Last updated in NPPESMarch 12, 2013
Mailing address30334 Old Dixie Hwy, Homestead, FL 33033-3215

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