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Organization
SOUTH MIAMI MEDICAL GROUP, INC.
Active
Organization
SOUTH MIAMI MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO QUESADA (PRESIDANT)
(305) 238-1529
Entity
Organization
Contact information
Practice address
9742 SW 174 STREET, UNIT 3, MIAMI, FL 33157
(305) 238-1529
(305) 238-3467
Mailing address
9742 SW 174 STREET, UNIT 3, MIAMI, FL 33157
(305) 238-1529
(305) 238-3467
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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