| Nostrum Medical Center West Hialeah Llc | |
|
200 W 49th St Hialeah FL 33012-3714 | |
| (305) 821-8292 | |
| (305) 821-3345 |
| Full Name | Nostrum Medical Center West Hialeah Llc |
|---|---|
| Speciality | General Practice |
| Location | 200 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Luis Ginoris (PRESIDENT) |
| Authorized Official Contact | 3058218292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nostrum Medical Center West Hialeah Llc 200 W 49th St Hialeah FL 33012-3714 Ph: (305) 821-8292 | Nostrum Medical Center West Hialeah Llc 200 W 49th St Hialeah FL 33012-3714 Ph: (305) 821-8292 |
| NPI Number | 1750658407 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750658407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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