Organization
PROVIDENCE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO D GUERRA-MORALES PA (DIRECTOR)
(305) 220-8006
Entity
Organization
Contact information
Practice address
10348 W FLAGLER ST, MIAMI, FL 33174-1746
(305) 220-8006
(305) 220-5002
Mailing address
10348 W FLAGLER ST, MIAMI, FL 33174-1746
(305) 220-8006
(305) 220-5002
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
08/23/2007
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