| Nostrum Medical Center West Dade Llc | |
|
4155 Sw 130th Ave Ste 102 Miami FL 33175-3414 | |
| (305) 223-3580 | |
| (305) 223-3582 |
| Full Name | Nostrum Medical Center West Dade Llc |
|---|---|
| Speciality | General Practice |
| Location | 4155 Sw 130th Ave Ste 102, Miami, Florida |
| Authorized Official Name and Position | Jose A Esnard (PRESIDENT) |
| Authorized Official Contact | 3052233580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nostrum Medical Center West Dade Llc 4155 Sw 130th Ave Ste 102 Miami FL 33175-3414 Ph: (305) 223-3580 | Nostrum Medical Center West Dade Llc 4155 Sw 130th Ave Ste 102 Miami FL 33175-3414 Ph: (305) 223-3580 |
| NPI Number | 1285901926 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285901926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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