Organization
CENTERS OF MEDICAL EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADITA BUSTAMANTE (COO)
(305) 874-3909
Entity
Organization
Contact information
Practice address
1738 W 49TH ST STE 10, HIALEAH, FL 33012-3457
(305) 698-8432
(305) 698-8975
Mailing address
7925 NW 12TH ST STE 201, DORAL, FL 33126-1821
(305) 874-3909
(305) 874-3916
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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