Organization
STATE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KALY CASTELLANOS LMT (PRESIDENT)
(305) 206-1603
Entity
Organization
Contact information
Practice address
6955 NW 77TH AVE STE 306, MIAMI, FL 33166-2846
(305) 206-1603
Mailing address
6955 NW 77TH AVE STE 306, MIAMI, FL 33166-2846
(305) 206-1603
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME14277
FL
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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