Med-Source Group LLC.
Med-Source Group LLC. is a healthcare organization registered as Point of Service in Miami Lakes, FL, holding Type 2 (organization) NPI 1114304144 since 2015. The authorized official on file is Otto Valdes, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114304144 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Med-Source Group LLC. |
| Practice address | 15476 NW 77TH CT, Miami Lakes, FL, 33016 |
| Phone | 7864430873 |
| Enumeration date | 2015-04-28 |
| Last updated in NPPES | 2015-04-28 |
Authorized official
| Name | Otto Valdes |
|---|---|
| Title | Ceo |
| Phone | 7864430873 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | — | — |
Copy-ready billing details
Provider: Med-Source Group LLC. NPI: 1114304144 Taxonomy: 305S00000X (Point of Service) Address: 15476 NW 77TH CT, Miami Lakes, FL, 33016
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568601243 | As Gold Service Inc | Organization | Clinic/Center | Miami Lakes, FL |
| 1184863862 | As Fast Service Corp | Organization | Clinic/Center | Miami Lakes, FL |
| 1942443007 | Western Quality Group | Organization | Preferred Provider Organization | Hialeah, FL |
| 1902139819 | Real Care Team Service Inc | Organization | Durable Medical Equipment & Medical Supplies | Miami Lakes, FL |
| 1992038806 | Quality Medical Care Corp | Organization | Durable Medical Equipment & Medical Supplies | Miami Lakes, FL |
| 1174903074 | Optima Medical Centers of Central Florida LLC | Organization | Clinic/Center | Miami Lakes, FL |
Verify this record
Cross-check NPI 1114304144 against the authoritative CMS record: view Med-Source Group LLC. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Med-Source Group LLC.?
Who is the authorized official for Med-Source Group LLC.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-04-28.