Organization
PREFERRED MEDICAL PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS M FERNANDEZ (DIRECTOR)
(305) 447-8373
Entity
Organization
Contact information
Practice address
4950 SW 8TH ST, CORAL GABLES, FL 33134-2400
(305) 447-8373
Mailing address
4950 SW 8TH ST, CORAL GABLES, FL 33134-2400
(305) 447-8373
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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