Organization
AZURE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA CARDENTEY (PRESIDENT/OWNER)
(786) 536-9329
Entity
Organization
Contact information
Practice address
12963 W OKEECHOBEE RD STE 1, HIALEAH GARDENS, FL 33018-6055
(786) 536-9329
Mailing address
12963 W OKEECHOBEE RD STE 1, HIALEAH GARDENS, FL 33018-6055
(786) 536-9329
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109727500
—
FL
Enumeration date
02/15/2021
Last updated
01/17/2024
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