Organization
MASTERMED MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE NAHUAT (OWNER)
(786) 231-8519
Entity
Organization
Contact information
Practice address
14273 SW 42ND ST, MIAMI, FL 33175-6408
(786) 655-0169
Mailing address
14273 SW 42ND ST, MIAMI, FL 33175-6408
(786) 655-0169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
05/19/2023
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