Organization
PENATE MEDICAL CENTER 4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA PENATE (AMBR)
(786) 272-9170
Entity
Organization
Contact information
Practice address
4855 NW 183RD ST, MIAMI GARDENS, FL 33055-2955
(786) 272-9170
Mailing address
8200 SW 117TH AVE STE 112, MIAMI, FL 33183-4825
(786) 272-9170
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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