# ST MICHAEL MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1235156910
- **Authorized official:** MR. JOSEPH M LEMAIRE M.D., M.PH (PRESIDENT)
- **Authorized official phone:** (305) 981-1015

## Contact information

- **Practice address:** 620 NE 128TH ST, NORTH MIAMI, FL 33161-4829
- **Practice address phone:** (305) 981-1015
- **Practice address fax:** (305) 981-1016
- **Mailing address:** 620 NE 128TH ST, NORTH MIAMI, FL 33161-4829
- **Mailing address phone:** (305) 981-1015
- **Mailing address fax:** (305) 981-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME0065663 | FL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 01/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 273166500 | — | FL |