Organization
HIALEAH DRIVE MEDCIAL CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYNELL QUIRIELLO (OWNER)
(305) 889-6665
Entity
Organization
Contact information
Practice address
461 HIALEAH DR, HIALEAH, FL 33010-5346
(305) 889-6665
(305) 889-1816
Mailing address
461 HIALEAH DR, HIALEAH, FL 33010-5346
(305) 889-6665
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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