Mia Group
Specialist · Ponte Vedra, FL
Practice location
822 a1a NPonte Vedra, FL 32082-3260
- Phone
- (425) 606-5304
NPI record
- NPI
- 1124403472
- Entity type
- Organization (Type 2)
- Enumeration date
- July 29, 2015
- Last updated
- July 29, 2015
- Organization subpart
- Yes
- Parent organization
- Gia Group
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
275498 | FL |
Mailing address
2885 Sanford Ave SW # 23719Grandville, MI 49418-1342
- Phone
- (425) 606-5304
Authorized official
- Name
- Taylor Jones, PHD
- Title
- Director
- Phone
- (425) 606-5304
About Mia Group
Mia Group is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 822 a1a N, Ponte Vedra, FL 32082-3260. The NPI number 1124403472 was assigned on July 29, 2015 and the record was last updated on July 29, 2015.
Mia Group lists a license in the registry: #275498 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Taylor Jones, PHD, Director.
Frequently asked questions
What is the NPI number of Mia Group?
The NPI number is 1124403472.
What is the phone number of Mia Group?
The phone number listed for the practice location is (425) 606-5304.
Where is Mia Group located?
822 a1a N, Ponte Vedra, FL 32082-3260.
What is the taxonomy code for Mia Group?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Specialist providers in Ponte Vedra
- Cecilia C. Olazar, M.D.130 Professional Dr
- Allison M. Walter644 Picasso Ave