Organization
MIDLAND MEDICAL - MIAMI SHORES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALCOM ROY (PRESIDENT)
(305) 751-9677
Entity
Organization
Contact information
Practice address
8642 NE 2ND AVE, EL PORTAL, FL 33138-3004
(305) 751-9677
(305) 899-7120
Mailing address
8642 NE 2ND AVE, EL PORTAL, FL 33138-3004
(305) 751-9677
(305) 899-7120
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
HCC6722
FL
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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