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11900 Biscayne Blvd Ste 266 North Miami FL 33181-2756 | |
| (786) 360-1988 | |
| (786) 360-2578 |
| Full Name | |
|---|---|
| Speciality | Surgery |
| Location | 11900 Biscayne Blvd Ste 266, North Miami, Florida |
| Authorized Official Name and Position | Horatio Gordon (CEO/PRESIDENT) |
| Authorized Official Contact | 9543687644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11900 Biscayne Blvd Ste 266 North Miami FL 33181-2756 Ph: (786) 360-1988 | 11900 Biscayne Blvd Ste 266 North Miami FL 33181-2756 Ph: (786) 360-1988 |
| NPI Number | 1083114771 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083114771 | NPI | - | NPPES |
| 016840200 | Medicaid | FL |
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