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Med-Source Group LLC.

Point of Service in Miami Lakes, FL · enumerated 2015 · authorized official Otto Valdes, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114304144

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Registry record

Entity type Organization (Type 2)
Legal business name Med-Source Group LLC.
Practice address 15476 Nw 77th Ct, Miami Lakes, FL, 33016
Phone (786) 443-0873
Enumeration date Apr 28, 2015
Last updated in NPPES Apr 28, 2015

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations Primary

Authorized official

Name Otto Valdes
Title Ceo
Phone (786) 443-0873

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Med-Source Group LLC.?
The NPI for Med-Source Group LLC. is 1114304144, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Med-Source Group LLC.?
NPPES lists Otto Valdes (Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-28.