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MI DYNAMIC MEDICAL GROUP LLC
NPI 1700777224
Nurse Practitioner - Psychiatric/Mental Health in Cape Coral, FL

Active since July 12, 2025
1222 SE 47TH ST STE 201, CAPE CORAL, FL 33904(239) 342-6516(239) 374-8342 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Sep 12, 2025, Jul 12, 2025 (3 updates tracked since 2025).

About Mi Dynamic Medical Group Llc NPPES

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

MI DYNAMIC MEDICAL GROUP LLC (NPI 1700777224) is a healthcare organization registered as a psychiatric/mental health in Cape Coral, Florida and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Doral and lists Ivette Dieguez, Aprn, as its authorized official.

NPPES Registry Identity

NPI1700777224
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMI DYNAMIC MEDICAL GROUP LLC
Location Address1222 SE 47TH ST STE 201Cape Coral, FL 33904-9602
Mailing Address1222 Se 47th St Ste 201Cape Coral, FL 33904-9602 · (239) 342-6516 · Fax (239) 374-8342
Phone(239) 342-6516
Fax(239) 374-8342
Organization SubpartNo
Authorized OfficialIvette DieguezAprn · (239) 342-6516
Enumeration DateJuly 12, 2025
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1700777224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1222 SE 47TH ST STE 201, Cape Coral, FL 33904
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Secondary Practice Location 1

Location 13901 NW 79th Ave Ste 250Doral, FL 33166-6502 · Phone (239) 342-6516 · Fax (239) 374-8342

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

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

SALINAS LCSW, LLC
Social Worker (Clinical)
1222 SE 47TH ST STE 201
CAPE CORAL, FL 33904
Lee County (239) 234-9355

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 Mi Dynamic Medical Group LLC's NPI number?

The NPI number for Mi Dynamic Medical Group LLC is 1700777224. It was assigned to this organization in the NPPES registry on July 12, 2025.

Where is Mi Dynamic Medical Group LLC located?

Mi Dynamic Medical Group LLC is located at 1222 SE 47th St Ste 201, Cape Coral, FL 33904. The listed phone number is (239) 342-6516.

What is Mi Dynamic Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mi Dynamic Medical Group LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.