Organization
FEDERAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C. PEREZ (PRESIDENT)
(305) 285-0888
Entity
Organization
Contact information
Practice address
1710 SW 27TH AVE, SUITE 202, MIAMI, FL 33145-2451
(305) 285-0888
Mailing address
1710 SW 27TH AVE, SUITE 202, MIAMI, FL 33145-2451
(305) 285-0888
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC4675
AHCA
FL
Enumeration date
07/09/2006
Last updated
04/28/2011
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