Organization
SOUTH MIAMI CHILDRENS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SIMONE CARROLL SCOTT MD (MEDICAL DIRECTOR)
(305) 662-5988
Entity
Organization
Contact information
Practice address
6701 SW 58TH PL, SOUTH MIAMI, FL 33143
(305) 662-5988
(305) 662-5589
Mailing address
6701 SW 58TH PL, SOUTH MIAMI, FL 33143
(305) 662-5988
(305) 662-5589
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME67630
FL
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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