# AIR BASE MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1588336051
- **Authorized official:** DR. CARMEN MORALES APRN (MGR)
- **Authorized official phone:** (786) 504-3022

## Contact information

- **Practice address:** 12803 SW 280TH ST, HOMESTEAD, FL 33032-8552
- **Practice address phone:** (786) 504-3022
- **Practice address fax:** (786) 504-3092
- **Mailing address:** 20753 SW 128TH CT, MIAMI, FL 33177-5518
- **Mailing address phone:** (305) 342-4083
- **Mailing address fax:** (786) 504-3092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/01/2021
- **Last updated:** 10/18/2022