Organization
CMA MEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (PRESIDENT)
(305) 621-0023
Entity
Organization
Contact information
Practice address
5801 MIAMI LAKES DR E, HIALEAH, FL 33014-2401
(305) 821-9115
(305) 821-9150
Mailing address
1000 PARK CENTRE BLVD, SUITE 100, MIAMI, FL 33169-5373
(305) 621-0023
(305) 628-6121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255564600
—
FL
Enumeration date
11/04/2010
Last updated
07/18/2012
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