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7600 Sw 57th Ave Suite 300 South Miami FL 33143-5428 | |
| (305) 668-5103 | |
| (305) 668-5125 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 7600 Sw 57th Ave, South Miami, Florida |
| Authorized Official Name and Position | Amalia Mercedes Landa-galindez (OWNER) |
| Authorized Official Contact | 3056685103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7600 Sw 57th Ave Suite 300 South Miami FL 33143-5428 Ph: (305) 668-5103 | 7600 Sw 57th Ave Suite 300 South Miami FL 33143-5428 Ph: (305) 668-5103 |
| NPI Number | 1124216320 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 12/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124216320 | NPI | - | NPPES |
| 1194712042 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0069836 (Florida) | Primary |
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