Organization
WESTLAND SOUTH MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY MARIA PEREZ (OFFICE MANAGER)
(305) 559-1997
Entity
Organization
Contact information
Practice address
3410 SW 107TH AVE, MIAMI, FL 33165-3633
(305) 559-1997
(305) 559-1971
Mailing address
3410 SW 107TH AVE, MIAMI, FL 33165-3633
(305) 559-1997
(305) 559-1971
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261Q00000X
Clinic/Center
HCC5750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC5750
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
03/25/2010
Last updated
04/26/2011
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