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Organization
MIAMI DADE PRIMARY CARE LLC
Active
Organization
MIAMI DADE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON CARRILLO M.D. (MGR)
(305) 445-7200
Entity
Organization
Contact information
Practice address
2974 SW 8TH ST, MIAMI, FL 33135-2827
(305) 631-3000
(305) 631-3009
Mailing address
3181 CORAL WAY, 4TH FLOOR, CORAL GABLES, FL 33145-3216
(305) 445-7200
(305) 445-7999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0014314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049755000
—
FL
01
—
1548224116
NPI
FL
Enumeration date
07/08/2009
Last updated
06/23/2010
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