Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Medical Group Corp

Organization General Practice Physician · NPI 1093241465

Eastern Medical Group Corp provides General Practice Physician services in Miami, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8900 Coral Way Ste 202
Miami, FL 33165-2075
Phone: (305) 392-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X · Licence HCC11007 (FL)

Record details

NPI number1093241465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Dominguez — President · (305) 392-0765
NPI enumeratedMay 4, 2017
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 8, 2023
Mailing address8900 Coral Way, Suite 202, Miami, FL 33165-2075

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