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Organization

FAIRLAWN MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEOPOLDO BECERRA (PRESIDENT)
(786) 444-1771
Entity
Organization

Contact information

Practice address
6465 SW 8TH ST, WEST MIAMI, FL 33144-4843
(786) 444-1771
Mailing address
6465 SW 8TH ST, WEST MIAMI, FL 33144-4843
(786) 444-1771

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/12/2007
Last updated
10/03/2008
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