Organization
CPC MEDICAL CENTER@MILLER DRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHERVONY (VICE PRESIDENT)
(305) 854-6661
Entity
Organization
Contact information
Practice address
10240 SW 56TH ST, 106, MIAMI, FL 33165-7071
(305) 598-8805
Mailing address
10240 SW 56TH ST, 106, MIAMI, FL 33165-7071
(305) 598-8805
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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