Organization
ESTRADA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELIO VARANY ESTRADA MOLINA APRN (PRESIDENT)
(954) 470-0347
Entity
Organization
Contact information
Practice address
11117 W OKEECHOBEE RD STE 104, HIALEAH GARDENS, FL 33018-4200
(954) 470-0347
Mailing address
11117 W OKEECHOBEE RD STE 104, HIALEAH GARDENS, FL 33018-4200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
10/08/2021
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