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Organization
VICTORIA MEDICAL GROUP INC
Active
Organization
VICTORIA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALTAGRACIA ADALGIZA VICTORIA MD (PRESIDENT)
(305) 822-4447
Entity
Organization
Contact information
Practice address
5801 NW 151ST ST STE 203, MIAMI LAKES, FL 33014-2437
(305) 822-4447
(305) 822-4484
Mailing address
5801 NW 151ST ST STE 203, MIAMI LAKES, FL 33014-2437
(305) 822-4447
(305) 822-4484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME-0070097
FL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME-0070097
LICENSE
FL
Enumeration date
10/18/2006
Last updated
01/03/2022
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