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Organization
OMAR F MEDINA-MARENCO DO PA
Active
Organization
OMAR F MEDINA-MARENCO DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR F MEDINA-MARENCO DO (PRESIDENT)
(305) 510-2586
Entity
Organization
Contact information
Practice address
1898 SW 27TH AVE, SUITE # 1, MIAMI, FL 33145-2445
(305) 447-8777
Mailing address
PO BOX 831419, MIAMI, FL 33283-1419
(305) 510-2586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9040
FL
Other
Enumeration date
07/07/2008
Last updated
06/10/2009
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