| Avalon Medical Center Corp | |
|
6065 Nw 167th St Suite B-7 Hialeah FL 33015-4327 | |
| (305) 821-3155 | |
| (305) 821-3166 |
| Full Name | Avalon Medical Center Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 6065 Nw 167th St, Hialeah, Florida |
| Authorized Official Name and Position | Gustavo Bolanos (PRESIDENT) |
| Authorized Official Contact | 3058213155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Medical Center Corp 6065 Nw 167th St Suite B-7 Hialeah FL 33015-4327 Ph: (305) 821-3155 | Avalon Medical Center Corp 6065 Nw 167th St Suite B-7 Hialeah FL 33015-4327 Ph: (305) 821-3155 |
| NPI Number | 1396067617 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 03/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396067617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC8681 (Florida) | Primary |
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