institution
Portilla Medical Group Llc
Multi-Specialty Clinic/Center in Miami, Florida
NPI 1124467717

Portilla Medical Group Llc is a Multi-Specialty Clinic/Center based in Miami, FL and is specialized in Multi-Specialty. Portilla Medical Group Llc practices in Miami, FL. The NPI Number for Portilla Medical Group Llc is 1124467717 and holds a License No. (Florida).

The current practice location address for Portilla Medical Group Llc is 330 Sw 27Th Ave, Miami, FL and can be reached out via phone at 305-631-1220 and via fax at 305-631-1251.

Location: 330 Sw 27Th Ave, Miami, FL, 33135-2961
institution
Provider Profile Details
NPI Number
1124467717
Provider Name
Portilla Medical Group Llc
Credential
Provider Entity Type
Organization
Address
330 Sw 27Th Ave, Miami, FL, 33135-2961
Phone Number
305-631-1220
Fax Number
305-631-1251
Provider Enumeration Date
06/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010921800 05 FL
HU244A 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
330 Sw 27Th Ave
City
State
Zip
33135-2961
Phone Number
305-631-1220
Fax Number
305-631-1251
person
Provider Business Mailing Address Details
Address
330 Sw 27Th Ave
City
State
Zip
33135-2961
Phone Number
305-631-1220
Fax Number
305-631-1251
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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