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Organization
MA-R MEDICAL CENTER INC
Active
Organization
MA-R MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDALGIS FONT (PRESIDENT)
(305) 265-1665
Entity
Organization
Contact information
Practice address
8574 SW 8TH ST, MIAMI, FL 33144-4053
(305) 265-1665
(305) 265-1226
Mailing address
8574 SW 8TH ST, MIAMI, FL 33144-4053
(305) 265-1665
(305) 265-1226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC6986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6986
LICENSE NUMBER
—
Enumeration date
11/10/2006
Last updated
09/20/2007
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