Organization
IDEAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO GONZALEZ (PRESIDENT)
(305) 957-0017
Entity
Organization
Contact information
Practice address
995 N MIAMI BEACH BLVD, SUITE 100, NORTH MIAMI BEACH, FL 33162-3721
(305) 957-0017
(305) 957-0015
Mailing address
995 N MIAMI BEACH BLVD, SUITE 100, NORTH MIAMI BEACH, FL 33162-3721
(305) 957-0017
(305) 957-0015
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
506207-2
FL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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