Organization
MILLENIUM MEDICAL CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA GONZALEZ (PRESIDENT)
(786) 535-4863
Entity
Organization
Contact information
Practice address
2721 SW 137TH AVE STE 118, MIAMI, FL 33175-6319
(786) 535-4863
(786) 535-4790
Mailing address
2721 SW 137TH AVE STE 118, MIAMI, FL 33175-6319
(786) 535-4863
(786) 535-4790
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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