| Palm Medical Center Little Havana, Llc | |
|
2501 Sw 8th St Miami FL 33135-3005 | |
| (305) 642-9992 | |
| (305) 442-1198 |
| Full Name | Palm Medical Center Little Havana, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2501 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Marlen Morales (COMPLIANCE OFFICER) |
| Authorized Official Contact | 3059139447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Medical Center Little Havana, Llc 2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 Ph: (305) 913-9447 | Palm Medical Center Little Havana, Llc 2501 Sw 8th St Miami FL 33135-3005 Ph: (305) 642-9992 |
| NPI Number | 1497271118 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497271118 | NPI | - | NPPES |
| HCC11110 | Other | FL | AGENCY FOR HEALTH CARE ADMINISTRATION LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC11110 (Florida) | Primary |
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