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Organization
NOSTRUM MEDICAL CENTER WEST LITTLE HAVANA LLC
Active
Organization
NOSTRUM MEDICAL CENTER WEST LITTLE HAVANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LORA M.D. (PRESIDENT)
(305) 642-9997
Entity
Organization
Contact information
Practice address
42 NW 27TH AVE STE 401, MIAMI, FL 33125-5135
(305) 642-9997
(305) 642-9520
Mailing address
42 NW 27TH AVE STE 401, MIAMI, FL 33125-5135
(305) 642-9997
(305) 642-9520
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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