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Organization
MERCY HOSPITAL INC
Active
Organization
MERCY HOSPITAL INC
Active
Parent organization
MERCY HOSPITAL INC
Other names
Mercy Hospital Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL INC
Authorized official
JOHN C JOHNSON (PRESIDENT/CEO)
(305) 854-4400
Entity
Organization
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 285-2121
(305) 285-2114
Mailing address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 285-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4002
FL
207R00000X
Internal Medicine Physician
Primary
4002
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4002
DE
207RH0003X
Hematology & Oncology Physician
4002
FL
207RI0011X
Interventional Cardiology Physician
4002
FL
207X00000X
Orthopaedic Surgery Physician
4002
FL
208C00000X
Colon & Rectal Surgery Physician
4002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4002
LICENSE
FL
Enumeration date
02/11/2009
Last updated
11/23/2009
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