Organization
PALM MEDICAL CENTER HIALEAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN M ORTIZ (CEO)
(305) 913-9444
Entity
Organization
Contact information
Practice address
1401 E 4TH AVE STE 104, HIALEAH, FL 33010-3504
(305) 888-9000
Mailing address
2600 S DOUGLAS RD STE 308, CORAL GABLES, FL 33134-6134
(305) 913-9444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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