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Organization
NOVALES MEDICAL CENTER INC
Active
Organization
NOVALES MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA RODRIGUEZ (PRESIDENT)
(305) 643-4684
Entity
Organization
Contact information
Practice address
470 NW 22ND AVE, MIAMI, FL 33125-3352
(305) 643-4684
(305) 643-4680
Mailing address
470 NW 22ND AVE, MIAMI, FL 33125-3352
(305) 643-4684
(305) 643-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 70533
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME 59048
FL
207X00000X
Orthopaedic Surgery Physician
ME 55079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170540
HUMANA
FL
05
—
273175400
—
FL
01
—
94970
BLUECROSS BLUESHIELD OF F
FL
Enumeration date
12/20/2005
Last updated
01/08/2010
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