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

Provider Associates IPA

Organization Exclusive Provider Organization · NPI 1124713045

Provider Associates IPA is an Exclusive Provider Organization in Homestead, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

25865 SW 139th Path
Homestead, FL 33032-6696
Phone: (305) 606-6494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1124713045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis De Lamar — Ceo · (305) 606-6494
NPI enumeratedApril 6, 2023
Last updated in NPPESApril 6, 2023
Certification dateSeptember 7, 2022
Mailing address25865 Sw 139th Path, Homestead, FL 33032-6696

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