Univida Medical Center Llc | |
15225 Nw 77th Ave Miami Lakes FL 33014-7804 | |
(305) 587-2747 | |
(305) 587-2748 |
Full Name | Univida Medical Center Llc |
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Speciality | General Practice |
Location | 15225 Nw 77th Ave, Miami Lakes, Florida |
Authorized Official Name and Position | Luis Castro (MANAGING PARTNER) |
Authorized Official Contact | 3052031008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Univida Medical Center Llc 860 Nw 42nd Ave 5th Floor Miami FL 33126-3667 Ph: (305) 203-1008 | Univida Medical Center Llc 15225 Nw 77th Ave Miami Lakes FL 33014-7804 Ph: (305) 587-2747 |
NPI Number | 1336851880 |
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Provider Enumeration Date | 12/15/2022 |
Last Update Date | 01/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336851880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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