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Organization

SSLD GROUP CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SURAFEL KEBEDE GEBRESELASSIE MD (PRESIDENT)
(305) 413-3863
Entity
Organization

Contact information

Practice address
4789 NW 167TH ST, MIAMI GARDENS, FL 33055-4242
(305) 413-3863
Mailing address
4789 NW 167TH ST, MIAMI GARDENS, FL 33055-4242

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/12/2025
Last updated
08/12/2025
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