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Organization

MAIMONIDES MEDICAL CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROLINA C SARENAS M.D. (VICE-PRESIDENT)
(321) 637-6654
Entity
Organization

Contact information

Practice address
1295 S US HIGHWAY 1, ROCKLEDGE, FL 32955-2732
(321) 637-6654
(321) 433-1119
Mailing address
1295 S US HIGHWAY 1, ROCKLEDGE, FL 32955-2732
(321) 637-6654
(321) 433-1119

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RN0300X
Nephrology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379714700
FL
Enumeration date
03/29/2006
Last updated
12/04/2012
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