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Organization
MGM OUTPATIENT INC
Active
Organization
MGM OUTPATIENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON RAMIREZ-GONZALEZ (PRESIDENT)
(786) 409-3651
Entity
Organization
Contact information
Practice address
2450 SW 137TH AVE STE 206, MIAMI, FL 33175-6312
(786) 409-3651
Mailing address
2450 SW 137TH AVE STE 206, MIAMI, FL 33175-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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