Organization
SOUTHLAND CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCILDA FERNANDEZ (PRESIDENT)
(305) 222-5005
Entity
Organization
Contact information
Practice address
20920 S DIXIE HWY, MIAMI, FL 33189-2220
(305) 222-5005
Mailing address
20920 S DIXIE HWY, MIAMI, FL 33189-2220
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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