Organization
SOUTH DADE HOSPITAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AILE M HERNANDEZ (MANAGER)
(305) 279-0152
Entity
Organization
Contact information
Practice address
8000 SW. 117 AVE, SUITE 201, MIAMI, FL 33183
(305) 279-0152
(305) 279-2602
Mailing address
P.O. BOX 830757, MIAMI, FL 33283
(305) 279-0152
(305) 279-2602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME89513
FL
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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