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

Nirvana Clinic Center LLC

Organization Family Medicine Physician · NPI 1811357122

Nirvana Clinic Center LLC is a Family Medicine Physician in Miami, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

8765 SW 165th Ave Ste 105
Miami, FL 33193-5832
Phone: (786) 577-0024
Fax: (786) 773-2234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Family Medicine Physician Taxonomy 207Q00000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1811357122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniela Manno — Director · (786) 577-0024
NPI enumeratedFebruary 29, 2016
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address8765 Sw 165th Ave Ste 105, Miami, FL 33193-5832

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