Organization
AMC MEDICAL AND DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLAISNE OTERO (PRESIDENT)
(305) 260-0519
Entity
Organization
Contact information
Practice address
5757 SW 8TH ST, SUITE 111, WEST MIAMI, FL 33144-5060
(305) 260-0519
(305) 260-0518
Mailing address
5757 SW 8TH ST, SUITE 111, WEST MIAMI, FL 33144-5060
(305) 260-0519
(305) 260-0518
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7780
AHCA
FL
Enumeration date
09/17/2007
Last updated
09/17/2007
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