| Primary Health Hospitalist Of South Florida Llc | |
|
1455 Sw 27th Ave Miami FL 33145-1234 | |
| (305) 649-3260 | |
| (305) 649-3261 |
| Full Name | Primary Health Hospitalist Of South Florida Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1455 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Raul Ignacio Tano (PRESIDENT) |
| Authorized Official Contact | 3056493260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Hospitalist Of South Florida Llc 1455 Sw 27th Ave Miami FL 33145-1234 Ph: (305) 649-3260 | Primary Health Hospitalist Of South Florida Llc 1455 Sw 27th Ave Miami FL 33145-1234 Ph: (305) 649-3260 |
| NPI Number | 1689807653 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689807653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME46299 (Florida) | Primary |
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