Organization
VERSANT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNY HAWKINS (PRESIDENT)
(786) 479-3305
Entity
Organization
Contact information
Practice address
10404 WEST FLAGLER ST STE 15, MIAMI, FL 33174
(786) 479-3305
Mailing address
10404 WEST FLAGLER ST STE 15, MIAMI, FL 33174
(786) 479-3305
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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