OrganizationActive
Florida Medical Center Group, Inc.
NPI 1396002929 · Adolescent Medicine (Family Medicine) Physician · Miami, FL
Provider details
- NPI number
- 1396002929
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Madelaine Souto, Ceo(786) 378-8200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Research Study Specialist1744R1102X
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1501 Nw 36 St
Miami, FL 33142-9998
Phone: (786) 378-8200
Fax: (305) 907-5299
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Nw 36th St
Miami, FL 33142-5559
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2018-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.