| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1538199906 | COSTA | FIDEL | 11031 NE 6TH AVE | MIAMI | FL | 331617182 | ||
| 1831126671 | FERNANDEZ | FELIX | MANUEL | 11031 NE 6TH AVE | MIAMI | FL | 331617182 | |
| 1689601437 | GARCIA | ANA | VILMA | 11031 NE 6TH AVE | MIAMI | FL | 331617182 | |
| 1992807408 | OEDING | GUILLERMO | ENRIQUE | 11031 NE 6TH AVE | MIAMI | FL | 331617182 | |
| 1447352950 | PEREZ-HEREDIA | ALEXANDER | 11031 NE 6TH AVE | MIAMI | FL | 331617182 | ||
| 1336185834 | TERRY | ANTONIO | 11031 NE 6TH AVE | MIAMI | FL | 331617182 |