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Organization
YD MEDICAL CENTER CORP
Active
Organization
YD MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE DUENAS CEO (PRESIDENT)
(786) 366-1742
Entity
Organization
Contact information
Practice address
13255 SW 137TH AVE STE 213, MIAMI, FL 33186-5328
(786) 366-1742
(305) 397-2406
Mailing address
13255 SW 137TH AVE STE 213, MIAMI, FL 33186-5328
(786) 366-1742
(305) 397-2406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME56855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013FLO25
CMERCIAL INSURANCES, HMO,PPO
FL
Enumeration date
01/19/2013
Last updated
01/19/2013
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