| Ertamayo Inc | |
|
9037 Biscayne Blvd Miami Shores FL 33138-3221 | |
| (305) 835-2797 | |
| Not Available |
| Full Name | Ertamayo Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9037 Biscayne Blvd, Miami Shores, Florida |
| Authorized Official Name and Position | Omara Tamayo (PRESIDENT) |
| Authorized Official Contact | 3058352797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ertamayo Inc 9037 Biscayne Blvd Miami Shores FL 33138-3221 Ph: (305) 835-2797 | Ertamayo Inc 9037 Biscayne Blvd Miami Shores FL 33138-3221 Ph: (305) 835-2797 |
| NPI Number | 1528489200 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 12/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528489200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME67715 (Florida) | Primary |
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