| Mercy Hospital Medical Group | |
|
3663 S Miami Ave Miami FL 33133-4253 | |
| (305) 285-2121 | |
| (305) 285-2114 |
| Full Name | Mercy Hospital Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3663 S Miami Ave, Miami, Florida |
| Authorized Official Name and Position | John C Johnson (PRESIDENT/CEO) |
| Authorized Official Contact | 3058544400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Medical Group 3663 S Miami Ave Miami FL 33133-4253 Ph: (305) 285-2121 | Mercy Hospital Medical Group 3663 S Miami Ave Miami FL 33133-4253 Ph: (305) 285-2121 |
| NPI Number | 1275772469 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275772469 | NPI | - | NPPES |
| 4002 | Other | FL | LICENSE |
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