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Organization

MILLENNIUM MEDICAL & TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE A BROCHE (PRESIDENT)
(305) 924-5474
Entity
Organization

Contact information

Practice address
2742 SW 8TH ST, MIAMI, FL 33135-4636
(305) 924-5474
Mailing address
121 S STATE ROAD 7, PLANTATION, FL 33317-3733
(305) 924-5474

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
FL

Other

Enumeration date
05/22/2006
Last updated
08/22/2020
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