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

Med-Source Group LLC

Organization Point of Service · NPI 1114304144

Med-Source Group LLC is a Point of Service in Miami Lakes, Florida. Registered with an NPI since 2015.

In the registry since
2015
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

15476 NW 77th Ct
Miami Lakes, FL 33016-5823
Phone: (786) 443-0873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X

Record details

NPI number1114304144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Otto Valdes — Ceo · (786) 443-0873
NPI enumeratedApril 28, 2015
Last updated in NPPESApril 28, 2015
Mailing address15476 Nw 77th Ct, Miami Lakes, FL 33016-5823

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