M A Medical Center Corp | |
5450 S State Road 7 Bay 3 Davie FL 33314-6442 | |
(954) 316-8496 | |
(954) 316-8497 |
Full Name | M A Medical Center Corp |
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Speciality | Clinic/center |
Location | 5450 S State Road 7, Davie, Florida |
Authorized Official Name and Position | Mario J. Hernandez (PRESIDENT OWNER) |
Authorized Official Contact | 9543168496 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M A Medical Center Corp 5450 S State Road 7 Bay 3 Davie FL 33314-6442 Ph: (954) 316-8496 | M A Medical Center Corp 5450 S State Road 7 Bay 3 Davie FL 33314-6442 Ph: (954) 316-8496 |
NPI Number | 1386665438 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 07/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386665438 | NPI | - | NPPES |
HCC6842 | Other | FL | AHCA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | HCC6842 (Florida) | Primary |
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