DEVOTED MEDICAL GROUP PROFESSIONAL CORPORATION - NPI 1245838168

Q: What is Devoted Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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About Devoted Medical Group Professional Corporation NPPES

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

DEVOTED MEDICAL GROUP PROFESSIONAL CORPORATION (NPI 1245838168) is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since October 2020. The organization lists Neil Wagle, Cmo, as its authorized official.

NPPES Registry Identity

NPI1245838168

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameDEVOTED MEDICAL GROUP PROFESSIONAL CORPORATION

Location Address880 SW 145TH AVE STE 202Pembroke Pines, FL 33027-6171

Mailing AddressPo Box 211699Eagan, MN 55121-3699

Phone(866) 849-0692

Organization SubpartNo

Authorized OfficialNeil WagleCmo · (617) 256-6666

Enumeration DateOctober 13, 2020

Last NPPES UpdateJanuary 3, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2025

✔ NPI 1245838168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedGeneral PracticeTaxonomy 208D00000X

880 SW 145TH AVE STE 202, Pembroke Pines, FL 33027

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ALEC PETERSEN

Internal Medicine