# USCG CLINIC AIR STATION MIAMI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760928923
- **Authorized official:** DEBRA FITZGERALD (HSWL SC)
- **Authorized official phone:** (757) 628-4363

## Contact information

- **Practice address:** 14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
- **Practice address phone:** (757) 628-4363
- **Mailing address:** 14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
- **Mailing address phone:** (757) 628-4363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017