# PMC PALMETTO BAY CORP.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PMC PALMETTO BAY, CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588983944
- **Legal business name:** PMC PALMETTO BAY, CORP
- **Authorized official:** MRS. OLIVE CHUNG-JAMES M.D. (DOCTOR)
- **Authorized official phone:** (305) 251-3975

## Contact information

- **Practice address:** 9275 S.W. 152 STREET, SUITE 204, MIAMI, FL 33157
- **Practice address phone:** (305) 251-3975
- **Mailing address:** 9275 S.W. 152 STREET, SUITE 204, MIAMI, FL 33157
- **Mailing address phone:** (305) 251-3975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME42907 | FL | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 11/08/2012