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Organization
PATAKY MEDICAL CENTER INC
Active
Organization
PATAKY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN ZILIA OLIVA LPN (PRESIDENT)
(305) 553-2220
Entity
Organization
Contact information
Practice address
12781 SW 42ND ST, SUITE G, MIAMI, FL 33175-3437
(305) 553-2220
(305) 553-9753
Mailing address
12781 SW 42ND ST, SUITE G, MIAMI, FL 33175-3437
(305) 553-2220
(305) 553-9753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC10449
FL
208D00000X
General Practice Physician
HCC10449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K8416A
PTAN
FL
Enumeration date
03/29/2006
Last updated
02/16/2016
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