Organization
SHALOM MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURISADAY RONES (OWNER)
(786) 374-9928
Entity
Organization
Contact information
Practice address
8302 NW 103RD ST STE 205, HIALEAH GARDENS, FL 33016-4698
(786) 651-2442
Mailing address
8302 NW 103RD ST STE 205, HIALEAH GARDENS, FL 33016-4698
(786) 651-2442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
07/28/2025
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