# CAREVANTAGE MEDICAL HOLDING

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

## Provider details

- **NPI number:** 1326592486
- **Authorized official:** ALBERTO LAMADRID (PRESIDENT)
- **Authorized official phone:** (786) 691-1110

## Contact information

- **Practice address:** 4445 W 16TH AVE, SUITE 501, HIALEAH, FL 33012-7189
- **Practice address phone:** (305) 558-8687
- **Mailing address:** 4445 W 16TH AVE, SUITE 200, HIALEAH, FL 33012-7189

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2016
- **Last updated:** 08/06/2016
