Organization
FLORIDA HEALTH SPECIALTY PROVIDERS INC.
Active
Other names
med florida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERJIO OSCAR RUIZ (PRESIDENT)
(305) 693-8888
Entity
Organization
Contact information
Practice address
7900 NW 27TH AVE, SUITE 205, MIAMI, FL 33147-4902
(305) 693-8888
(305) 693-8893
Mailing address
1301 SW 126TH PL, MIAMI, FL 33184-2311
(305) 553-8267
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC5751
STATE OF FLORIDA
FL
Enumeration date
09/01/2006
Last updated
08/22/2020
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