Organization
FAITH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL DEULOFEU (PRESIDENT)
(305) 364-9740
Entity
Organization
Contact information
Practice address
1800 W 49TH ST, SUITE 118, HIALEAH, FL 33012-2900
(305) 364-9740
Mailing address
1800 W 49TH ST, SUITE 118, HIALEAH, FL 33012-2900
(305) 364-9740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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