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Organization
PREMIUM CARE DOCTORS CORP.
Active
Organization
PREMIUM CARE DOCTORS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL ALFREDO GALGUERA MD (PRESIDENT)
(305) 805-0012
Entity
Organization
Contact information
Practice address
1816 E 4TH AVE, HIALEAH, FL 33010-3115
(305) 805-0012
(305) 883-9003
Mailing address
1816 E 4TH AVE, HIALEAH, FL 33010-3115
(305) 805-0012
(305) 883-9003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258699100
—
FL
Enumeration date
11/14/2006
Last updated
08/03/2023
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