Organization
STAT MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON BERENGUER (MD)
(305) 756-9466
Entity
Organization
Contact information
Practice address
9526 NE 2ND AVE, SUITE 202, MIAMI SHORES, FL 33138-2750
(305) 756-9466
Mailing address
9526 NE 2ND AVE, SUITE 202, MIAMI SHORES, FL 33138-2750
(305) 756-9466
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME88240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207707100
—
FL
Enumeration date
04/18/2007
Last updated
09/04/2008
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