Organization
ASCENCION MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUIDO LOPEZ ARNP (ADMINISTRATOR)
(786) 353-2573
Entity
Organization
Contact information
Practice address
1060 NW 67 AVE, MIAMI, FL 33144
(305) 807-0791
Mailing address
7440 N KENDALL DR APT 3113, MIAMI, FL 33156-8073
(305) 807-0791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/06/2021
Last updated
09/22/2021
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