Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coral Reef Medical Group LLC

Organization Family Medicine Physician · NPI 1982870143

Coral Reef Medical Group LLC provides Family Medicine Physician services in Homestead, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30334 Old Dixie Hwy
Homestead, FL 33033-3215 Not confirmed with CMS for 13 years — call before visiting
Phone: (786) 243-0149
Fax: (786) 234-2612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME57421 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ARNP619302 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA9103866 (FL)

Record details

NPI number1982870143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Blanco — Owner · (786) 243-0149
NPI enumeratedMay 7, 2008
Last updated in NPPESMarch 12, 2013
Mailing address30334 Old Dixie Hwy, Homestead, FL 33033-3215

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