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428 Ne 125th St North Miami FL 33161-4717 | |
| (305) 570-0012 | |
| (305) 351-9087 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 428 Ne 125th St, North Miami, Florida |
| Authorized Official Name and Position | Jorge Raad (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7862336981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6355 Nw 36th St Bldg Ste 1100 Virginia Gardens FL 33166-7009 Ph: (786) 233-6981 | 428 Ne 125th St North Miami FL 33161-4717 Ph: (305) 570-0012 |
| NPI Number | 1245811348 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245811348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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