Organization
SOUTH MIAMI MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIOSCORIDA ACOSTA (CEO)
(786) 326-4707
Entity
Organization
Contact information
Practice address
2550 NW 72ND AVE, SUTE 208, MIAMI, FL 33122-1350
(305) 592-1573
(305) 597-1530
Mailing address
2550 NW 72ND AVE, SUTE 208, MIAMI, FL 33122-1350
(305) 592-1573
(305) 597-1530
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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