# RASCO MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922602820
- **Authorized official:** HECTOR C RASCO ACN (OWNER)
- **Authorized official phone:** (305) 987-9628

## Contact information

- **Practice address:** 441 SW 17TH AVE, MIAMI, FL 33135-3626
- **Practice address phone:** (786) 663-5229
- **Mailing address:** 5362 W 20TH CT, HIALEAH, FL 33016-2023
- **Mailing address phone:** (305) 987-9628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 11/23/2020
