Organization
MAGI HEALTH CARE CLINIC INC
Active
Other names
Abuelitos Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA RODRIGUEZ (PRESIDENT)
(786) 422-7374
Entity
Organization
Contact information
Practice address
5803 NW 151ST ST STE 301, MIAMI LAKES, FL 33014-2478
(786) 422-7374
(786) 422-7375
Mailing address
5803 NW 151ST ST STE 301, MIAMI LAKES, FL 33014-2478
(786) 422-7374
(786) 422-7375
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
HCC8678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609184407
—
FL
Enumeration date
09/15/2010
Last updated
02/06/2019
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