Organization
INTERCARIBBEAN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO HANABERGH MD (PRESIDENT)
(786) 609-8316
Entity
Organization
Contact information
Practice address
3850 SW 87TH AVE, STE 305A, MIAMI, FL 33165-5400
(786) 609-8316
(305) 468-6367
Mailing address
3850 SW 87TH AVE, STE 305A, MIAMI, FL 33165-5400
(786) 609-8316
(305) 468-6367
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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