Organization
CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD MIREYA GALLARDO PIMENTEL APRN (PRESIDENT)
(954) 331-4966
Entity
Organization
Contact information
Practice address
1645 SW 107TH AVE, MIAMI, FL 33165-7344
(954) 331-4966
(954) 212-8486
Mailing address
1645 SW 107TH AVE, MIAMI, FL 33165-7344
(954) 331-4966
(954) 212-8486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
09/18/2020
Last updated
08/08/2022
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