Organization
EAST MEDICALASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMES B LIENS M.D. (OWNER)
(305) 226-2535
Entity
Organization
Contact information
Practice address
4155 SW 130TH AVE, SUITE 113, MIAMI, FL 33175-3414
(305) 226-2535
(305) 226-2536
Mailing address
4155 SW 130TH AVE, SUITE 113, MIAMI, FL 33175-3414
(305) 226-2535
(305) 226-2536
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003339200
—
FL
Enumeration date
07/28/2006
Last updated
08/20/2021
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