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Contact Information

21 MEDICAL GROUP LLC
9526 NE 2ND AVE
SUITE 102
MIAMI SHORES, FL33138-2750
 Phone: 305-751-0007
 Fax: 305-754-4947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 21 MEDICAL GROUP LLC · (Female)

NPI Number 1578802070
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2013
Last updated 02/05/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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