Organization
BIRD RD MEDICAL CENTER INC
Active
Other names
BIRD ROAD PODIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
DORA Q REYES (SECRETARY/TREASURER)
(305) 551-3412
Entity
Organization
Contact information
Practice address
8485 SW 40TH STREET, 102, MIAMI, FL 33155-3262
(305) 551-3412
(305) 551-1945
Mailing address
8485 SW 40TH STREET, 102, MIAMI, FL 33155-3262
(305) 551-3412
(305) 551-1945
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029791700
—
FL
Enumeration date
08/21/2006
Last updated
07/10/2014
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