Faith Medical Group Inc | |
1840 W 49 Street Suite 103 Hialeah FL 33012 | |
(305) 634-9742 | |
(605) 634-9744 |
Full Name | Faith Medical Group Inc |
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Speciality | Family Medicine |
Location | 1840 W 49 Street, Hialeah, Florida |
Authorized Official Name and Position | Rafael Deulofeu (PRESIDENT) |
Authorized Official Contact | 3056349742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Faith Medical Group Inc 1840 W 49 Street Suite 103 Hialeah FL 33012 Ph: (305) 634-9742 | Faith Medical Group Inc 1840 W 49 Street Suite 103 Hialeah FL 33012 Ph: (305) 634-9742 |
NPI Number | 1902177280 |
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Provider Enumeration Date | 01/19/2012 |
Last Update Date | 01/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902177280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME82456 (Florida) | Primary |
225100000X | Physical Therapist | PT14991 (Florida) | Secondary |
225700000X | Massage Therapist | MA44576 (Florida) | Secondary |
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