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Organization
MIAMI LAKES MEDICAL CENTER ASSOCIATES, P.A.
Active
Organization
MIAMI LAKES MEDICAL CENTER ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A ZALIS MD (PRESIDENT)
(305) 821-6600
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE, SUITE 315, HIALEAH, FL 33016-5529
(305) 821-6600
(305) 821-0773
Mailing address
7150 W 20TH AVE, SUITE 315, HIALEAH, FL 33016-5529
(305) 821-6600
(305) 821-0773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME31692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000901
NHP KOBY
FL
01
—
001729
NHP ZALIS
FL
01
—
014686
AVMED KOBY
FL
01
—
02704
MCR KOBY
FL
05
—
039823300
—
FL
05
—
044892300
—
FL
01
—
170130
HUMANA
FL
01
—
265997
AVMED ZALIS
FL
01
—
4337911
AETNA KOBY
FL
01
—
4521008
AETNA ZALIS
FL
01
—
6972300
JMH ZALIS
FL
01
—
7900000
JMH KOBY
FL
01
—
79162
MCR ZALIS
FL
Enumeration date
01/07/2008
Last updated
03/10/2010
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