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

Providence Professional Services Group Inc

Organization General Practice Physician · NPI 1134276975

Providence Professional Services Group Inc provides General Practice Physician services in Miami, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6555 NW 36 St Ste 105
Miami, FL 33166
Phone: (786) 470-6399
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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

Record details

NPI number1134276975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lenihan — President · (786) 470-6399
NPI enumeratedJanuary 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6555 Nw 36 St, Ste 105, Miami, FL 33166

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