NPI 1053797670

E Med Nursing Registry

Organisation Preferred Provider Organization Miami Gardens, FL

Practice location

Address: 18350 NW 2nd Ave, Miami Gardens, FL 33169
Phone: (754) 234-0536
Mailing address: 8280 NE 1st Pl, Miami, FL 33138-3748

Authorised official

Name: Phillip Thompson
Title: Ceo
Phone: (754) 234-0536

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 30211788 (FL)

Other Preferred Provider Organization providers in Florida →

Registry record

NPI: 1053797670
Entity type: Organization
NPI issued: 5 Aug 2015
Record last updated: 22 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.