Organization
CPC MEDICAL CENTER AT MILLER DRIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHERVONY (VICE PRESIDENT)
(305) 854-6661
Entity
Organization
Contact information
Practice address
10240 SW 56TH ST, SUITE #106, MIAMI, FL 33165-7071
(305) 598-8805
(305) 598-8109
Mailing address
2455 SW 27TH AVE, SUITE 100, MIAMI, FL 33145-3663
(305) 854-6661
(305) 856-6954
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
12/05/2012
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