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2100 Nw 107th Ave Ste 108 Sweetwater FL 33172-2506 | |
| (786) 625-7100 | |
| (786) 625-7111 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2100 Nw 107th Ave Ste 108, Sweetwater, Florida |
| Authorized Official Name and Position | Fernando Espinosa (PRESIDENT) |
| Authorized Official Contact | 7866257100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7801 Sw 125th St Pinecrest FL 33156-6058 Ph: () - | 2100 Nw 107th Ave Ste 108 Sweetwater FL 33172-2506 Ph: (786) 625-7100 |
| NPI Number | 1881349363 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 01/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881349363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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