Provider Demographics
NPI:1255189619
Name:DOCTORS GROUP MIAMI BEACH LLC
Entity type:Organization
Organization Name:DOCTORS GROUP MIAMI BEACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROMERO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO FISCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-815-0693
Mailing Address - Street 1:4445 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2852
Mailing Address - Country:US
Mailing Address - Phone:305-815-0693
Mailing Address - Fax:954-771-2927
Practice Address - Street 1:4445 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2852
Practice Address - Country:US
Practice Address - Phone:305-815-0693
Practice Address - Fax:954-771-2927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty