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Organization
KETER MEDICAL CENTER & SPA LLC
Active
Organization
KETER MEDICAL CENTER & SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBER LABORDE APRN (OWNER)
(786) 290-6828
Entity
Organization
Contact information
Practice address
8000 NW 7TH ST STE 102, MIAMI, FL 33126-4107
(786) 290-6828
Mailing address
8000 NW 7TH ST STE 102, MIAMI, FL 33126-4107
(786) 290-6828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/24/2019
Last updated
06/13/2022
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