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Organization
FAMILY HEALTHCARE MEDICAL GROUP INC
Active
Organization
FAMILY HEALTHCARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO J GOTERA AVILA SA (OWNER)
(407) 820-2693
Entity
Organization
Contact information
Practice address
600 NW 35TH AVE STE 102, MIAMI, FL 33125-4000
(407) 820-2693
Mailing address
600 NW 35TH AVE STE 102, MIAMI, FL 33125-4000
(407) 820-2693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/20/2024
Last updated
11/21/2024
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