Organization
FAMILY MEDICAL GROUP DORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA COLLADO (OWNER)
(305) 504-6044
Entity
Organization
Contact information
Practice address
3470 NW 82ND AVE STE 110, DORAL, FL 33122-1026
(305) 504-6044
(305) 707-3576
Mailing address
12391 SW 130TH ST, MIAMI, FL 33186-6208
(305) 504-6044
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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