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Organization

IDEAL MEDICAL CENTER OF MIAMI

Active
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Organization

IDEAL MEDICAL CENTER OF MIAMI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODOLFO MOLINA M.D. (MEDICAL DIRECTOR)
(305) 635-7710
Entity
Organization

Contact information

Practice address
1490 NW 27TH AVE, SUITE # 130, MIAMI, FL 33125-2157
(305) 635-7710
(305) 637-8122
Mailing address
1490 N.W. 27 AVENUE, SUITE # 130, MIAMI, FL 33125
(305) 635-7710
(305) 637-8122

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC7682
FL

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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