Organization
PATRICK MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA T ROQUE PEREIRA (PRESIDENT)
(786) 716-0059
Entity
Organization
Contact information
Practice address
6882 W FLAGLER ST, MIAMI, FL 33144-2814
(786) 350-6080
Mailing address
15585 SW 112TH WAY, MIAMI, FL 33196-5301
(786) 350-6080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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