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Organization
MIAMI DADE COMMUNITY MEDICAL GROUP,CORP.
Active
Organization
MIAMI DADE COMMUNITY MEDICAL GROUP,CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELIA Z PADRON M.D (PRESIDENT)
(856) 534-5819
Entity
Organization
Contact information
Practice address
1901 SW 1ST ST, SUITE 208, MIAMI, FL 33135-1601
(305) 763-2384
(877) 889-1801
Mailing address
1901 SW 1ST ST, SUITE 208, MIAMI, FL 33135-1601
(305) 763-2384
(877) 889-1801
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1100X
Research Clinic/Center
—
NULL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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