Organization
PENATE MEDICAL CENTER 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA PENATE (AMBR)
(786) 272-9170
Entity
Organization
Contact information
Practice address
995 N MIAMI BEACH BLVD, NORTH MIAMI BEACH, FL 33162-3721
(786) 272-9170
Mailing address
8200 SW 117TH AVE STE 112, MIAMI, FL 33183-4825
(786) 272-9170
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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