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Organization

EMINENCE GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD HALL (MANAGING DIRECTOR)
(305) 628-6117
Entity
Organization

Contact information

Practice address
1000 PARK CENTRE BLVD, SUITE 100, MIAMI GARDENS, FL 33169-5373
(305) 628-6117
Mailing address
1000 PARK CENTRE BLVD, SUITE 100, MIAMI GARDENS, FL 33169-5373

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101249721
VA
208M00000X
Hospitalist Physician
Primary
0101249721
VA

Other

Enumeration date
06/04/2014
Last updated
05/12/2015
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