| Miami Dade Primary Care Llc | |
|
2974 Sw 8th St Miami FL 33135-2827 | |
| (305) 631-3000 | |
| (305) 631-3009 |
| Full Name | Miami Dade Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2974 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Ramon Carrillo (MGR) |
| Authorized Official Contact | 3054457200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Dade Primary Care Llc 3181 Coral Way 4th Floor Coral Gables FL 33145-3216 Ph: (305) 445-7200 | Miami Dade Primary Care Llc 2974 Sw 8th St Miami FL 33135-2827 Ph: (305) 631-3000 |
| NPI Number | 1114156452 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114156452 | NPI | - | NPPES |
| 049755000 | Medicaid | FL | |
| 1548224116 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0014314 (Florida) | Primary |
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