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Organization
PINECREST FAMILY MEDICINE INC
Active
Organization
PINECREST FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGUEDA HERNANDEZ MD (PRESIDENT)
(305) 235-4141
Entity
Organization
Contact information
Practice address
8353 SW 124TH ST, SUITE 201, MIAMI, FL 33156-5847
(305) 235-4141
(305) 235-4381
Mailing address
8353 SW 124TH ST, SUITE 201, MIAMI, FL 33156-5847
(305) 235-4141
(305) 235-4381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME89580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2637103-00
—
FL
Enumeration date
02/21/2007
Last updated
10/13/2010
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