# WESTLAND SOUTH MEDICAL CENTER, INC

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

## Provider details

- **NPI number:** 1407170004
- **Authorized official:** MRS. CINDY MARIA PEREZ (OFFICE MANAGER)
- **Authorized official phone:** (305) 559-1997

## Contact information

- **Practice address:** 3410 SW 107TH AVE, MIAMI, FL 33165-3633
- **Practice address phone:** (305) 559-1997
- **Practice address fax:** (305) 559-1971
- **Mailing address:** 3410 SW 107TH AVE, MIAMI, FL 33165-3633
- **Mailing address phone:** (305) 559-1997
- **Mailing address fax:** (305) 559-1971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | HCC5750 | FL | — |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 04/26/2011