| Interstate Medical Center Corp | |
|
4228 W 16th Ave Hialeah FL 33012-7624 | |
| (516) 737-8420 | |
| Not Available |
| Full Name | Interstate Medical Center Corp |
|---|---|
| Speciality | General Practice |
| Location | 4228 W 16th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Osvaldo Fernandez (PRESIDENT) |
| Authorized Official Contact | 5167378420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interstate Medical Center Corp 4228 W 16th Ave Hialeah FL 33012-7624 Ph: () - | Interstate Medical Center Corp 4228 W 16th Ave Hialeah FL 33012-7624 Ph: (516) 737-8420 |
| NPI Number | 1649641481 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649641481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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