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Organization
SELECTA MEDICAL CENTER INC
Active
Organization
SELECTA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA L MACARENO (PRESIDENT)
(786) 325-4118
Entity
Organization
Contact information
Practice address
1490 W 49 PL, SUITE 210, HIALEAH, FL 33012
(305) 817-9151
(305) 817-9157
Mailing address
1490 W 49 PL, SUITE 210, HIALEAH, FL 33012
(305) 817-9151
(305) 817-9157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC5024
FL
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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