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Organization
PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC
Active
Organization
PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL IGNACIO TANO M.D. (PRESIDENT)
(305) 649-3260
Entity
Organization
Contact information
Practice address
1455 SW 27TH AVE, MIAMI, FL 33145-1234
(305) 649-3260
(305) 649-3261
Mailing address
1455 SW 27TH AVE, MIAMI, FL 33145-1234
(305) 649-3260
(305) 649-3261
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME46299
FL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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