Organization
SU FAMILIA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOAR RODRIGUEZ (PRESIDENT)
(305) 318-0121
Entity
Organization
Contact information
Practice address
7811 SW 24TH ST, 105, MIAMI, FL 33155-6540
(305) 318-0121
(305) 675-2668
Mailing address
7811 SW 24TH ST, 105, MIAMI, FL 33155-6540
(305) 318-0121
(305) 675-2668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC10090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 10704
AHCA HCC UNIT
FL
Enumeration date
06/11/2014
Last updated
06/11/2014
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