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Organization

FMD MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILEANA ROCA (BUSINESS MANAGER)
(305) 854-2899
Entity
Organization

Contact information

Practice address
3659 S MIAMI AVE STE 5005, MIAMI, FL 33133-4221
(305) 854-2899
(305) 859-9677
Mailing address
3659 S MIAMI AVE STE 5005, MIAMI, FL 33133-4221
(305) 854-2899
(305) 859-9677

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME88547
FL

Other

Enumeration date
12/05/2012
Last updated
12/05/2012
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