Organization
A MED PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES PEREIRA (OFFICE MANAGER)
(786) 801-1168
Entity
Organization
Contact information
Practice address
4055 NW 97TH AVE STE 100, DORAL, FL 33178-2911
(786) 801-1168
(786) 801-1176
Mailing address
4055 NW 97TH AVE STE 100, DORAL, FL 33178-2911
(786) 801-1168
(786) 801-1176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/08/2023
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