Organization
CIVIC MEDICAL CENTER OF MIAMI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO L REGALADO (PRESIDENT)
(305) 398-0807
Entity
Organization
Contact information
Practice address
2901 NW 17TH AVE, MIAMI, FL 33142-6631
(305) 633-3015
(305) 634-9118
Mailing address
PO BOX 441206, MIAMI, FL 33144-1206
(305) 633-3015
(305) 634-9118
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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