Organization
PRESTIGE PARTNERS GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILY HERNANDEZ (VP)
(305) 748-9310
Entity
Organization
Contact information
Practice address
126 E 49TH ST, HIALEAH, FL 33013-1853
(305) 748-9310
Mailing address
126 E 49TH ST, HIALEAH, FL 33013-1853
(305) 748-9310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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