| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1851370167 | CUSHMAN | JERRY | FRANCIS XAVIER | 1395 NW 167TH ST | MIAMI GARDENS | FL | 331695710 | |
| 1871987883 | ECHEVARRIA | NADIA | MARIA | 1395 NW 167TH ST | MIAMI GARDENS | FL | 331695710 | |
| 1013062579 | LEE | VINCENT | 1395 NW 167TH ST | MIAMI GARDENS | FL | 331695710 | ||
| 1003310590 | MCKIE | DALE-MARIE | N | 1395 NW 167TH ST | MIAMI GARDENS | FL | 331695710 |