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Organization
NAZARE MEDICAL CENTER, CORP
Active
Organization
NAZARE MEDICAL CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAILY V YBARGOLLIN (OWNER)
(305) 123-4567
Entity
Organization
Contact information
Practice address
55 W 29TH ST, HIALEAH, FL 33012-5739
(786) 332-4931
(786) 334-6403
Mailing address
55 W 29TH ST, HIALEAH, FL 33012-5739
(786) 332-4931
(786) 334-6403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN9214684
FL
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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