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Organization

FLORIDA COMPASSIONATE LLC

Active
Other names
FLORIDA COMPASSIONATE
Organization subpart
No

Provider details

NPI number
Authorized official
AL BERRY (CREDENTIALING MANAGER)
(800) 000-0000
Entity
Organization

Contact information

Practice address
1161 NE 202ND ST, MIAMI, FL 33179-2621
(786) 532-6103
Mailing address
1161 NE 202ND ST, MIAMI, FL 33179-2621
(786) 532-6103

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/16/2023
Last updated
02/12/2026
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