Organization
OTANTIK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDO C JEAN FRANCOIS (CEO)
(954) 882-0164
Entity
Organization
Contact information
Practice address
170 NW 189TH TER, SUITE C, MIAMI GARDENS, FL 33169-4004
(305) 650-1695
(305) 675-2297
Mailing address
170 NW 189 TER SUITE C, MIAMI GARDENS, FL 33169-4004
(305) 650-1695
(305) 675-2297
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
11/14/2025
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