Organization
ADVANCED MEDICAL CENTER GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANA CASTANON (MANAGER)
(305) 704-7121
Entity
Organization
Contact information
Practice address
1350 SW 57TH AVE, SUITE 101, WEST MIAMI, FL 33144-5775
(305) 704-7121
(305) 636-4670
Mailing address
1350 SW 57TH AVE, SUITE 101, WEST MIAMI, FL 33144-5775
(305) 704-7121
(305) 636-4670
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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