| West Miami Medical Center Llc | |
|
1350 Sw 57th Ave Ste 101 West Miami FL 33144-5775 | |
| (305) 614-3002 | |
| (305) 614-3889 |
| Full Name | West Miami Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1350 Sw 57th Ave Ste 101, West Miami, Florida |
| Authorized Official Name and Position | Jose Enrique Camejo (OWNER) |
| Authorized Official Contact | 3057210940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Miami Medical Center Llc 1350 Sw 57th Ave Ste 101 West Miami FL 33144-5775 Ph: (305) 721-0940 | West Miami Medical Center Llc 1350 Sw 57th Ave Ste 101 West Miami FL 33144-5775 Ph: (305) 614-3002 |
| NPI Number | 1194364497 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194364497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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