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Organization

SOUTH MIAMI CHILDRENS CLINIC INC

Active
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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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