Organization
DOCTOR'S MEDICAL CENTER, LLC
Active
Other names
DMC HEALTH MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
VENTURA DE PAZ PA (PRESIDENT/ CEO)
(305) 685-5688
Entity
Organization
Contact information
Practice address
1272 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
(305) 687-1817
Mailing address
5605 NW 82ND AVE, DORAL, FL 33166-4000
(305) 685-5688
(786) 618-5307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013915000
—
FL
05
—
063667300
—
FL
05
—
063667304
—
FL
05
—
063667305
—
FL
05
—
063667306
—
FL
05
—
063667307
—
FL
05
—
063667308
—
FL
05
—
063667309
—
FL
05
—
063667310
—
FL
05
—
063667311
—
FL
05
—
063667312
—
FL
05
—
063667313
—
FL
05
—
063667314
—
FL
05
—
063667315
—
FL
05
—
063667316
—
FL
Enumeration date
05/20/2006
Last updated
04/02/2021
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