1. Home
  2. Directory
  3. Florida
  4. Miami Lakes
  5. Point Of Service
  6. NPI Profile

MED-SOURCE GROUP LLC.
NPI 1114304144
Point of Service in Miami Lakes, FL

Active since April 28, 2015
15476 NW 77TH CT, MIAMI LAKES, FL 33016(786) 443-0873 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Med-source Group Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED-SOURCE GROUP LLC. (NPI 1114304144) is a healthcare organization registered as a point of service in Miami Lakes, Florida and active in the NPI registry since April 2015. The organization lists Otto J Valdes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114304144
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameMED-SOURCE GROUP LLC.
Location Address15476 NW 77TH CTMiami Lakes, FL 33016-5823
Mailing Address15476 Nw 77th CtMiami Lakes, FL 33016-5823 · (786) 443-0873
Phone(786) 443-0873
Organization SubpartNo
Authorized OfficialOtto J ValdesCeo · (786) 443-0873
Enumeration DateApril 28, 2015
✔ NPI 1114304144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
15476 NW 77TH CT, Miami Lakes, FL 33016
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTIMA MEDICAL CENTERS OF CENTRAL FLORIDA LLC
Clinic/Center
15476 NW 77TH CT, #292
MIAMI LAKES, FL 33016
Miami-Dade County (305) 766-0307
AS FAST SERVICE CORP
Clinic/Center
15476 NW 77TH CT, 159
MIAMI LAKES, FL 33016
Miami-Dade County (786) 278-0812
AS GOLD SERVICE INC
Clinic/Center
15476 NW 77TH CT, 160
MIAMI LAKES, FL 33016
Miami-Dade County (786) 278-0758
REAL CARE TEAM SERVICE INC
Durable Medical Equipment & Medical Supplies
15476 NW 77TH CT, 415
MIAMI LAKES, FL 33016
Miami-Dade County (786) 370-8938
WESTERN QUALITY GROUP
Preferred Provider Organization
15476 NW 77TH CT, SUITE355
HIALEAH, FL 33016
Miami-Dade County (305) 300-8380
QUALITY MEDICAL CARE CORP
Durable Medical Equipment & Medical Supplies
15476 NW 77TH CT, 447
MIAMI LAKES, FL 33016
Miami-Dade County (786) 222-8135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med-Source Group LLC.'s NPI number?

The NPI number for Med-Source Group LLC. is 1114304144. It was assigned to this organization in the NPPES registry on April 28, 2015.

Where is Med-Source Group LLC. located?

Med-Source Group LLC. is located at 15476 NW 77th Ct, Miami Lakes, FL 33016. The listed phone number is (786) 443-0873.

What is Med-Source Group LLC.'s specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Med-Source Group LLC. was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.