OrganizationActive
Providence Services Group Inc
NPI 1053407924 · Internal Medicine Physician · Miami, FL
Provider details
- NPI number
- 1053407924
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Morciego, President(305) 219-8593
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2328 Ludlam Rd
Miami, FL 33155-1846
Phone: (305) 219-8593
Approximate (ZIP-level) locationGet directions
Mailing address
2328 Ludlam Rd
Miami, FL 33155-1846
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.