Organization
MIAMI RESCUE MISSION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE GUTIERREZ M.D. (MEDICAL DIRECTOR)
(305) 572-2026
Entity
Organization
Contact information
Practice address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
Mailing address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
ACN296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003537402
—
FL
Enumeration date
03/27/2017
Last updated
03/27/2017
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