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

Magellan Clinical Services LLC

Organization Family Medicine Physician · NPI 1083647713

Magellan Clinical Services LLC is a Family Medicine Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

255 SW 8th St Ste 204
Miami, FL 33130-3529
Phone: (305) 642-7245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HCC6604 (FL)

Record details

NPI number1083647713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Carbonell — Manager · (786) 709-6977
NPI enumeratedJuly 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7737 W 15th Ct, Hialeah, FL 33014-3310

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