Organization
PREMIUM HEALTH CARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YAMILE RODRIGUEZ (PRESIDENT)
(786) 491-0411
Entity
Organization
Contact information
Practice address
8100 W FLAGLER ST #101-201, MIAMI, FL 33144
(786) 391-0411
(786) 391-0412
Mailing address
8100 W FLAGLER ST #101-201, MIAMI, FL 33144
(786) 391-0411
(786) 391-0412
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9655
FL
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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