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Organization
MIAMI LAKES MEDICAL CENTER ASSOCIATES PA
Active
Organization
MIAMI LAKES MEDICAL CENTER ASSOCIATES PA
Active
Other names
Pembroke Lakes Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN KOBY M.D. (VICE PRESIDENT)
(305) 821-6600
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE, SUITE 315, HIALEAH, FL 33016-5529
(305) 821-6600
(305) 821-0773
Mailing address
7150 W 20TH AVE, SUITE 315, HIALEAH, FL 33016-5529
(305) 821-6600
(305) 821-0773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/16/2005
Last updated
08/22/2020
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