Organization
FAMILY MEDICAL CLINIC NM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZSANDRA RODRIGUEZ (PRESIDENT)
(305) 603-7824
Entity
Organization
Contact information
Practice address
11077 BISCAYNE BLVD STE 303, MIAMI, FL 33161-7498
(786) 796-5010
Mailing address
11077 BISCAYNE BLVD STE 303, MIAMI, FL 33161-7498
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
01/06/2021
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