| |
12001 Sw 128th Ct, 201, Miami, FL 33186-4664 | |
(786) 344-8916 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 12001 Sw 128th Ct, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982922969 | NPI | - | NPPES |
8148 | Other | FL | AHCA HEALTH CARE CLINIC EXEMPTION |
Mailing Address | Practice Location Address |
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12001 Sw 128th Ct, 201, Miami, FL 33186-4664 Ph: (786) 344-8916 | 12001 Sw 128th Ct, 201, Miami, FL 33186-4664 Ph: (786) 344-8916 |