Organization
HIALEAH MEDICAL NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL LAZO (PRESIDENT)
(864) 897-2568
Entity
Organization
Contact information
Practice address
4224 W 16TH AVE, HIALEAH, FL 33012-7624
(864) 897-2568
Mailing address
4224 W 16TH AVE, HIALEAH, FL 33012-7624
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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