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

Providence Community Center LLC

Organization Internal Medicine Physician · NPI 1457760712

Providence Community Center LLC is an Internal Medicine Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
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

5932 NE 2nd Ave
Miami, FL 33137-2010
Phone: (786) 546-5129
Fax: (954) 241-6117
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3078052 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME94972 (FL)

Record details

NPI number1457760712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julina Dorval — Managing Member · (786) 546-5129
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014
Mailing address5932 Ne 2nd Ave, Miami, FL 33137-2010

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