Organization
LA UNION MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE PEREZ (AMBR)
(305) 456-8366
Entity
Organization
Contact information
Practice address
620 NW 33RD AVE, MIAMI, FL 33125-4106
(305) 456-8366
(305) 456-5900
Mailing address
620 NW 33RD AVE, MIAMI, FL 33125-4106
(305) 456-8366
(305) 456-5900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
FL
Enumeration date
04/14/2019
Last updated
04/14/2019
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