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

Providence Professional Services Group Inc

Organization General Practice Physician · NPI 1134276975

Providence Professional Services Group Inc is a General Practice Physician in Miami, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6555 NW 36 St Ste 105
Miami, FL 33166
Phone: (786) 470-6399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1134276975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lenihan — President · (786) 470-6399
NPI enumeratedJanuary 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6555 Nw 36 St, Ste 105, Miami, FL 33166

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