Organization
DADE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C VITAL (PRESIDENT)
(786) 360-6657
Entity
Organization
Contact information
Practice address
782 NW 42ND AVE, SUITE 439, MIAMI, FL 33126-5541
(786) 360-6657
Mailing address
782 NW 42ND AVE, SUITE 439, MIAMI, FL 33126-5541
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7577
FL
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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