Organization
UNIVERSAL
Active
Organization
UNIVERSAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO HERNANDEZ OWNER (PRESIDENT)
(305) 934-4286
Entity
Organization
Contact information
Practice address
6500 WEST 4 AVE SUIT 35, HIALEAH, FL 33012
(305) 512-1619
(305) 512-1621
Mailing address
6500 WEST 4 AVE SUIT 35, HIALEAH, FL 33012
(305) 512-1619
(305) 512-1621
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC6579
FL
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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