Green Mountain Med Con, INC

NPI #1194330340 in Doral, Florida

Provider Information

NPI Number: 1194330340
Entity Type: Organization
Organization Name: Green Mountain Med Con, INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 14, 2020
Last Updated: Jun 24, 2025

Practice Location

Address: 8175 NW 12TH ST STE 221
City: Doral
State: Florida
ZIP Code: 33126-1828
Phone: (786) 580-4957

Authorized Official

Name: CLAUDIA FUNDORA
Title: PRESIDENT
Phone: (786) 571-2788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Family Medicine	207Q00000X	Primary

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