Organization
UNIVERSITY HEALTH CARE RED ROAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL QUEVEDO (VICE PRESIDENT)
(305) 207-4443
Entity
Organization
Contact information
Practice address
3695 W 4TH AVE, HIALEAH, FL 33012-4300
(305) 207-4443
(305) 207-4442
Mailing address
3695 W 4TH AVE, HIALEAH, FL 33012-4300
(305) 207-4443
(305) 207-4442
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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