Provider Demographics
NPI:1366247694
Name:MED HEALTH MEDICAL CENTER LLC
Entity type:Organization
Organization Name:MED HEALTH MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR-ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IRAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:ISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-534-4900
Mailing Address - Street 1:5090 NW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5551
Mailing Address - Country:US
Mailing Address - Phone:786-534-4900
Mailing Address - Fax:786-534-4883
Practice Address - Street 1:5090 NW 74TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5551
Practice Address - Country:US
Practice Address - Phone:786-534-4900
Practice Address - Fax:786-534-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center