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5931 Nw 173rd Dr Suite #1 Hialeah FL 33015-5106 | |
| (305) 454-8798 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 5931 Nw 173rd Dr, Hialeah, Florida |
| Authorized Official Name and Position | Anita Petteway (PHYSICIAN) |
| Authorized Official Contact | 3054548798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5931 Nw 173rd Dr Suite #1 Hialeah FL 33015-5106 Ph: (305) 454-8798 | 5931 Nw 173rd Dr Suite #1 Hialeah FL 33015-5106 Ph: (305) 454-8798 |
| NPI Number | 1518402627 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 12/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518402627 | NPI | - | NPPES |
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