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

Portofino Wellness Spa LLC

Organization Family Medicine Physician · NPI 1861929549

Portofino Wellness Spa LLC is a Family Medicine Physician in Miami Springs, Florida. Registered with an NPI since 2017.

In the registry since
2017
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

107 Westward Dr Unit 660515
Miami Springs, FL 33266-0529
Phone: (305) 303-0649
Fax: (866) 885-9540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861929549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Knigge — Manager / President · (305) 303-0649
NPI enumeratedMay 12, 2017
Last updated in NPPESMay 12, 2017
Mailing address107 Westward Dr Unit 660515, Miami Springs, FL 33266-0529

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