| Orchid Medical Group, Llc | |
|
7480 Fairway Dr Miami Lakes FL 33014-6879 | |
| (786) 916-0565 | |
| Not Available |
| Full Name | Orchid Medical Group, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7480 Fairway Dr, Miami Lakes, Florida |
| Authorized Official Name and Position | Teresa Alfonso (PRESIDENT) |
| Authorized Official Contact | 7869160565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchid Medical Group, Llc 6498 Coral Way Miami FL 33155-1949 Ph: () - | Orchid Medical Group, Llc 7480 Fairway Dr Miami Lakes FL 33014-6879 Ph: (786) 916-0565 |
| NPI Number | 1922643154 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922643154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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