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640 Ne 124th St North Miami FL 33161-5523 | |
| (305) 891-4114 | |
| (305) 892-0151 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Ne 124th St, North Miami, Florida |
| Authorized Official Name and Position | Julia Torres (PRESIDENT) |
| Authorized Official Contact | 9545654899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
640 Ne 124th St North Miami FL 33161-5523 Ph: (305) 891-4114 | 640 Ne 124th St North Miami FL 33161-5523 Ph: (305) 891-4114 |
| NPI Number | 1043417520 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043417520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME73761 (Florida) | Primary |
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