Organization
ALL M D MEDICAL CENTER L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM M LARA M.D. (OWNER)
(305) 362-3969
Entity
Organization
Contact information
Practice address
2100 W 68TH ST, HIALEAH, FL 33016
(305) 362-1800
(305) 362-7909
Mailing address
2100 W 68TH ST, HIALEAH, FL 33016
(305) 362-1800
(305) 362-7909
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035062100
—
FL
01
—
AP471
MEDICARE PTAN
FL
Enumeration date
07/26/2006
Last updated
11/10/2008
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