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Organization
FAITH MEDICAL GROUP INC
Active
Organization
FAITH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL DEULOFEU OWNER (PRESIDENT)
(305) 634-9742
Entity
Organization
Contact information
Practice address
1840 W 49 STREET, SUITE 103, HIALEAH, FL 33012
(305) 634-9742
(605) 634-9744
Mailing address
1840 W 49 STREET, SUITE 103, HIALEAH, FL 33012
(305) 634-9742
(605) 634-9744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME82456
FL
225100000X
Physical Therapist
PT14991
FL
225700000X
Massage Therapist
MA44576
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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