Organization

Durban Medical Group

Community/Behavioral Health Agency in Miami, FL(View on Map)

Legal Business Name

Durban Medical Group

NPI Number

1760098099

NPI Type

Organization

Enumeration Date

09/22/2020

Specialties

(Taxonomies)

Code

251S00000X
261Q00000X
261QC1500X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

1212 NW 79TH ST
1212 NW 79TH ST

City

Miami
Miami

State

FL
FL

Postal Code

33147-8209
33147-8209

Country

US
US

Telephone Number

(786) 703-9896
(786) 703-9896

Authorized Official

Name

Octavio Rodriguez

Title or Position

ADM

Telephone Number

(786) 641-1312

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/27/2020

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