# HIALEAH DRIVE MEDCIAL CENTER,LLC

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

## Provider details

- **NPI number:** 1427007343
- **Authorized official:** MR. RAYNELL QUIRIELLO (OWNER)
- **Authorized official phone:** (305) 889-6665

## Contact information

- **Practice address:** 461 HIALEAH DR, HIALEAH, FL 33010-5346
- **Practice address phone:** (305) 889-6665
- **Practice address fax:** (305) 889-1816
- **Mailing address:** 461 HIALEAH DR, HIALEAH, FL 33010-5346
- **Mailing address phone:** (305) 889-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/22/2020