Organization
FAITH MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATARIA BRIDGES-MOSS (OFFICE MANAGER)
(305) 685-8001
Entity
Organization
Contact information
Practice address
845 NW 119TH ST, SUITE B, NORTH MIAMI, FL 33168-2336
(305) 685-8001
(305) 685-8024
Mailing address
845 NW 119TH ST, SUITE B, NORTH MIAMI, FL 33168-2336
(305) 685-8001
(305) 685-8024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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