| Evelyn Diagnostic & Medical Group Inc | |
|
7000 W 12th Ave Suite 15 Hialeah FL 33014-5154 | |
| (305) 512-1850 | |
| (305) 512-1851 |
| Full Name | Evelyn Diagnostic & Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 7000 W 12th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Ernesto M Carralero (PRESIDENT) |
| Authorized Official Contact | 3055121850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Diagnostic & Medical Group Inc 7000 W 12th Ave Suite 15 Hialeah FL 33014-5154 Ph: (305) 512-1850 | Evelyn Diagnostic & Medical Group Inc 7000 W 12th Ave Suite 15 Hialeah FL 33014-5154 Ph: (305) 512-1850 |
| NPI Number | 1124220470 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124220470 | NPI | - | NPPES |
| HCC5649 | Other | FL | HEALTH CARE CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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