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Organization
LATINO MEDICAL CENTER IV, INC
Active
Organization
LATINO MEDICAL CENTER IV, INC
Active
Parent organization
LATINO MEDICAL CENTER IV, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LATINO MEDICAL CENTER IV, INC
Authorized official
RODNEY JOSEPH (PRESIDENT)
(305) 879-9526
Entity
Organization
Contact information
Practice address
12800-12880 NWW 7TH AVE, NORTH MIAMI, FL 33168
(786) 636-6183
(786) 657-2623
Mailing address
12800-12880 NWW 7TH AVE, NORTH MIAMI, FL 33168
(786) 636-6183
(786) 657-2623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010902500
—
FL
Enumeration date
08/06/2020
Last updated
08/06/2020
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