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Organization

MEDICAL GROUP AT SOUTH MIAMI INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEJANDRO OCTAVIO ROCA M.D (PRESIDENT OF CORPORATION)
(305) 663-0710
Entity
Organization

Contact information

Practice address
6701 SUNSET DR, 212, SOUTH MIAMI, FL 33143-4529
(305) 663-0710
(305) 665-3051
Mailing address
6701 SUNSET DR, 212, SOUTH MIAMI, FL 33143-4529
(305) 663-0710
(305) 665-3051

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME62402
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268288500
FL
Enumeration date
08/29/2006
Last updated
06/24/2011
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