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Organization
SIERRA MEDICAL CENTER INC
Active
Organization
SIERRA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA M SIERRA CEO (CEO PRESIDENT)
(305) 821-6651
Entity
Organization
Contact information
Practice address
16351 NW 67TH AVENUE, MIAMI LAKES, FL 33014
(305) 821-6651
(305) 822-6173
Mailing address
16351 NW 67TH AVENUE, MIAMI LAKES, FL 33014
(305) 821-6651
(305) 822-6173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2943935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000112132
HUMANA
—
01
—
39712
MEDICARE GRP
FL
Enumeration date
04/29/2008
Last updated
04/29/2008
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