Organization
EDEN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURISADAY RONES (MANAGER)
(786) 651-2442
Entity
Organization
Contact information
Practice address
8302 NW 103RD ST STE 201, HIALEAH GARDENS, FL 33016
(786) 374-9928
Mailing address
8302 NW 103RD ST STE 201, HIALEAH GARDENS, FL 33016-4698
(786) 651-2442
(786) 528-8585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/15/2018
Last updated
07/27/2021
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