Organization
FLORIDA MEDICAL CENTER GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADELAINE SOUTO (CEO)
(786) 378-8200
Entity
Organization
Contact information
Practice address
1501 NW 36 ST, MIAMI, FL 33142-9998
(786) 378-8200
(305) 907-5299
Mailing address
1501 NW 36TH ST, MIAMI, FL 33142-5559
(786) 378-8200
(305) 907-5299
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
04/20/2012
Last updated
12/31/2018
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