Provider profile · NPI 1790493120

4th Trimester Place

Family Medicine · Miramar, FL · NPI 1790493120 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Family Medicine

Enumerated

Nov 15, 2022

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING14359 MIRAMAR PKWY # 139 Miramar, FL 33027-4134
LOCATION3350 SW 148TH AVE STE 110 Miramar, FL 33027-3237833-437-3484

View on NPPES registry ↗

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