Mi Dynamic Medical Group Llc

LBN: Mi Dynamic Medical Group Llc
Mi Dynamic Medical Group Llc is an health care organization with primary practice located at 1222 Se 47Th St Ste 201 , Cape Coral FL 33904-9602. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Mi Dynamic Medical Group Llc can be contacted via phone (239) 342-6516, or through Dieguez, Ivette via phone (239) 342-6516.

Contact Information

Primary practice address
1222 Se 47Th St Ste 201 Cape Coral FL 33904-9602
Phone: (239) 342-6516
Fax: (239) 374-8342
Website:
Map and Directions
Authorized official contact:
Name: Dieguez, Ivette
Phone: (239) 342-6516

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1700777224
LBN Legal business name Mi Dynamic Medical Group Llc
DBA Doing business as
Authorized official Dieguez, Ivette
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2025
Last updated Jan 27th, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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