Organization
MILLENIUM MEDICAL GROUP CORP
Active
Other names
Millenium Medical Group & CMHC Corp, Millenium Medical Group & CMHC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAMARYS SUAREZ QUIRIELLO (PRESIDENT)
(786) 332-4330
Entity
Organization
Contact information
Practice address
2720 SW 97TH AVE STE C105, MIAMI, FL 33165-2677
(786) 332-4330
(305) 381-0135
Mailing address
2720 SW 97TH AVE STE C105, MIAMI, FL 33165-2677
(786) 332-4330
(305) 381-0135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107892800
—
FL
Enumeration date
09/01/2021
Last updated
09/01/2021
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