Organization
CAREVANTAGE MEDICAL CENTERS OF MIAMI AT CIVIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THORNE (OWNER)
(305) 324-7900
Entity
Organization
Contact information
Practice address
1433 NW 13TH TER, MIAMI, FL 33125-2607
(305) 324-7900
Mailing address
1433 NW 13TH TER, MIAMI, FL 33125-2607
(305) 324-7900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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