Organization
GERI-CARE OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO DUMENIGO JR. M.D (OWNER/PHYSICIAN)
(305) 534-0076
Entity
Organization
Contact information
Practice address
9601 SW 40TH ST, MIAMI, FL 33165-4030
(305) 534-0076
Mailing address
1200 ALTON RD, MIAMI BEACH, FL 33139-3810
(305) 534-0076
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58111
ME
FL
Enumeration date
07/11/2016
Last updated
07/11/2016
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