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Organization
PREMIER VALUE FAMILY MEDICINE LLC
Active
Organization
PREMIER VALUE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDAYLIS MORONO-PONCE MD (PHYSICIAN/PRESIDENT)
(305) 225-0707
Entity
Organization
Contact information
Practice address
8352 SW 40 STREET, MIAMI, FL 33155-3354
(305) 225-0707
(888) 208-1644
Mailing address
8352 SW 40 STREET, MIAMI, FL 33155-3354
(305) 225-0707
(888) 208-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/09/2022
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