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Organization
NOVA MEDICAL CENTER INC,
Active
Organization
NOVA MEDICAL CENTER INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIDELYS MARTINEZ (OWNER/ ADMINISTRATOR)
(305) 790-2879
Entity
Organization
Contact information
Practice address
1150 NW 72ND AVE, MIAMI, FL 33126-1936
(305) 790-2879
Mailing address
1150 NW 72ND AVE, MIAMI, FL 33126-1936
(305) 790-2879
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
12/01/2020
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