LIVING WELL MEDICAL GROUP, INC


Address: 344 W 65th St Ste 201, Hialeah, FL 33012-6719
Phone: 7862165570

LIVING WELL MEDICAL GROUP, INC (NPI# 1477021574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477021574
Entity Type Organization
Organization Name LIVING WELL MEDICAL GROUP, INC
Practice Address 344 W 65th St Ste 201
Hialeah
FL 33012-6719
Practice Telephone 7862165570
Mailing Telephone 7862165570
Enumeration Date 2018-11-06
Last Update Date 2020-01-16
Authorized Official Name MAIRIM GONZALEZ (PRESIDENT)
Authorized Official Telephone 7862165570
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 344 W 65TH ST STE 201
City HIALEAH
State FL
Zip Code 33012-6719

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1164035416 D&e Clarity Mental Health LLC Clinic/Center 7600 W 20th Ave Ste 101, Hialeah, FL 33016-1895 2020-08-26
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1407356751 Victory Cmh Corp Clinic/Center 2099 W 76th St Unit 13, Hialeah, FL 33016-1834 2018-02-13
1255875324 Tropical Care Medical Center, Corp Clinic/Center 1651 W 37th St, Hialeah, FL 33012-4691 2016-12-08
1740638162 Andres Bello Clinic/Center 730 E 14th Pl, Hialeah, FL 33010-3226 2016-05-26
1124418264 Targeted Cm Clinic/Center 2300 W 84th St, Suite 204, Hialeah, FL 33016-5770 2015-01-28
1003004029 Medical Consulting Center Inc Clinic/Center 1671 W 37th St Ste 3, Hialeah, FL 33012-4639 2007-10-04
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Competitor

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City HIALEAH
Zip Code 33012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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