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Organization
PSYCHMED MEDICAL GROUP LLC
Active
Organization
PSYCHMED MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTEBAN J VALDES CASTILLO MD (PRESIDENT)
(305) 643-2228
Entity
Organization
Contact information
Practice address
2901 NW 7TH ST, MIAMI, FL 33125-4305
(305) 643-2228
(305) 643-1014
Mailing address
2901 NW 7TH ST, MIAMI, FL 33125-4305
(305) 643-2228
(305) 643-1014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191119
OCCUPATIONAL LICENSE
FL
Enumeration date
12/11/2009
Last updated
03/11/2010
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