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

Personalized Medicine Institute, LLC

Organization Internal Medicine Physician · NPI 1376011551

Personalized Medicine Institute, LLC is an Internal Medicine Physician in Davie, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
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

4765 SW 148th Ave Ste 404
Davie, FL 33330-2128
Phone: (203) 300-0147
Fax: (954) 634-4293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Internal Medicine Physician Taxonomy 207R00000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1376011551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maximo Fernandez — Ceo · (954) 552-7209
NPI enumeratedNovember 6, 2018
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address4765 Volunteer Rd Ste 404, Davie, FL 33330-2128

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