Organization
MG CENTER COMPANIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SIUTA M.D (PRESIDENT)
(561) 321-3533
Entity
Organization
Contact information
Practice address
16800 NW 2ND AVE STE 108, NORTH MIAMI BEACH, FL 33169-5509
(561) 321-3533
Mailing address
16800 NW 2ND AVE STE 108, NORTH MIAMI BEACH, FL 33169-5509
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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