Organization
HEALTHY GROUP MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO CRUZ (PRESIDENT)
(305) 554-4955
Entity
Organization
Contact information
Practice address
11880 SW 40 STREET, 207, MIAMI, FL 33175
(305) 554-4955
(305) 554-4801
Mailing address
PO BOX 652826, MIAMI, FL 33265-2826
(305) 554-4955
(305) 554-4801
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
643000-3
FL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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