# BUENA VISTA MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205094034
- **Authorized official:** JERRY A SPIEGEL MD (PDT)
- **Authorized official phone:** (305) 828-7520

## Contact information

- **Practice address:** 11300 NW 87TH CT STE 167, \#167, HIALEAH GARDENS, FL 33018-4521
- **Practice address phone:** (305) 828-7520
- **Mailing address:** 11300 NW 87TH CT STE 167, \#167, HIALEAH GARDENS, FL 33018-4521
- **Mailing address phone:** (305) 828-7520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008