# STAT MEDICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1245456169
- **Authorized official:** RAMON BERENGUER (MD)
- **Authorized official phone:** (305) 756-9466

## Contact information

- **Practice address:** 9526 NE 2ND AVE, SUITE 202, MIAMI SHORES, FL 33138-2750
- **Practice address phone:** (305) 756-9466
- **Mailing address:** 9526 NE 2ND AVE, SUITE 202, MIAMI SHORES, FL 33138-2750
- **Mailing address phone:** (305) 756-9466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME88240 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 09/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 207707100 | — | FL |