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Contact Information

CENTURY MEDICAL GROUP PA
390 NE 191ST ST STE 17147
MIAMI, FL33179-3899
 Phone: 512-360-0055
 Fax: 855-383-2273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for CENTURY MEDICAL GROUP PA · (Female)

NPI # 1083595474
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2025
Last updated 09/11/2025 - About 9 months 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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