Organization
EMC MEDICAL CENTER INC
Active
Organization
EMC MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESTEBAN M ATA (PRESIDENT)
(305) 826-7919
Entity
Organization
Contact information
Practice address
7480 FAIRWAY DR, SUITE 209, MIAMI LAKES, FL 33014-6879
(305) 826-7919
(305) 826-0541
Mailing address
7480 FAIRWAY DR, SUITE 209, MIAMI LAKES, FL 33014-6879
(305) 826-7919
(305) 826-0541
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7521
AHCA LICENSE
FL
Enumeration date
03/01/2007
Last updated
08/22/2020
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