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Organization
ALLU MIAMI MEDICAL CENTER LLC
Active
Organization
ALLU MIAMI MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO MARQUEZ PAYNE (CEO)
(786) 315-6818
Entity
Organization
Contact information
Practice address
15668 SW 72ND ST, MIAMI, FL 33193-1923
(786) 697-1150
(786) 541-1526
Mailing address
15668 SW 72ND ST, MIAMI, FL 33193-1923
(786) 697-1150
(786) 541-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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