Organization
SOUTH FLORIDA PRIMARY CARE PRACTICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIZEL AMADOR (CEO)
(786) 393-8634
Entity
Organization
Contact information
Practice address
8053 NW 155TH ST, MIAMI LAKES, FL 33016-5874
(786) 393-8634
Mailing address
8053 NW 155TH ST, MIAMI LAKES, FL 33016-5874
(786) 393-8634
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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