# SINA MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1407439078
- **Authorized official:** LAZARO A CASTRO (PRESIDENT/MANAGER)
- **Authorized official phone:** (786) 719-5201

## Contact information

- **Practice address:** 1541 SE 12TH AVE STE 29, HOMESTEAD, FL 33034-2699
- **Practice address phone:** (786) 640-1424
- **Practice address fax:** (786) 601-7124
- **Mailing address:** 1541 SE 12TH AVE STE 29, HOMESTEAD, FL 33034-2699
- **Mailing address phone:** (786) 640-1424
- **Mailing address fax:** (786) 601-7124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QR1100X | Research Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 10/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113623100 | — | FL |