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Organization
USA MEDICAL MANAGEMENT GARDEN, LLC
Active
Organization
USA MEDICAL MANAGEMENT GARDEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO DIAZ (DIRECTOR)
(305) 608-2948
Entity
Organization
Contact information
Practice address
1380 NE MIAMI GARDENS DR STE 132, MIAMI, FL 33179-4744
(305) 956-7755
(786) 446-7271
Mailing address
1380 NE MIAMI GARDENS DR STE 132, MIAMI, FL 33179-4744
(305) 956-7755
(786) 446-7271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L19000276773
LIMITED LIABILITY DOCUMENT
FL
Enumeration date
07/17/2020
Last updated
07/17/2020
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