| Centrum Medical Center Little Havana Llc | |
|
434 Sw 12th Ave Ste 100 Miami FL 33130-2431 | |
| (305) 266-2929 | |
| (786) 558-0242 |
| Full Name | Centrum Medical Center Little Havana Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 434 Sw 12th Ave Ste 100, Miami, Florida |
| Authorized Official Name and Position | Alexis Agreda (CFO) |
| Authorized Official Contact | 3052662929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrum Medical Center Little Havana Llc 9250 Nw 36th St Ste 420 Doral FL 33178-2775 Ph: (305) 266-2929 | Centrum Medical Center Little Havana Llc 434 Sw 12th Ave Ste 100 Miami FL 33130-2431 Ph: (305) 266-2929 |
| NPI Number | 1386291045 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386291045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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