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Organization
OMEDEROS MD PA
Active
Organization
OMEDEROS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES MEDEROS TRUJILLO MD (CEO)
(786) 553-0177
Entity
Organization
Contact information
Practice address
15955 BASS CREEK RD, MIRAMAR, FL 33027-3667
(786) 553-0177
Mailing address
500 SW 145TH AVE APT 230, PEMBROKE PINES, FL 33027-6209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
03/03/2025
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