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13220 Biscayne Blvd North Miami FL 33181-2040 | |
| (305) 956-2727 | |
| (305) 956-2729 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 13220 Biscayne Blvd, North Miami, Florida |
| Authorized Official Name and Position | Neil Bonnardel (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Contact | 7542182164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2304 W Oakland Park Blvd Oakland Park FL 33311-1422 Ph: (754) 218-2164 | 13220 Biscayne Blvd North Miami FL 33181-2040 Ph: (305) 956-2727 |
| NPI Number | 1275993784 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275993784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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