Ponce Mediclub LLC
Ponce Mediclub LLC is a General Practice Physician in Miami, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9950 SW 107th Ave Ste 203Miami, FL 33176-2767
Phone: (305) 908-3144
Fax: (407) 605-5129
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1902468523 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maria Lopez — Director Of Operations Med Ctr · (305) 992-4521 |
| NPI enumerated | July 3, 2019 |
| Last updated in NPPES | May 12, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | 11455 Sw 40th St # 146, Miami, FL 33165-3311 |
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