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NPI Profile for INNOVA PHYSICIANS NETWORK LLC in MIAMI LAKES, FL.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Clinical & Laboratory Dermatological Immunology |
207NI0002X | 07 | Physician/Dermatology | |
Clinical & Laboratory Immunology |
207RI0001X | 11 | Physician/Internal Medicine | |
Dental |
261QD0000X | |||
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Health Maintenance Organization |
302R00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Physical Therapy |
261QP2000X | |||
Primary Care |
261QP2300X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1487596672 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/07/2026 | |
| Last updated | 04/10/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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INNOVA PHYSICIANS NETWORK LLC
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INNOVA PHYSICIANS NETWORK LLC