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Organization

UNIQUE MEDICAL GROUP OF FLORIDA, CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INTI FERNANDEZ M.D. (PRESIDENT)
(305) 512-0080
Entity
Organization

Contact information

Practice address
4410 W 16TH AVE, SUITE 55, HIALEAH, FL 33012-7100
(305) 512-0080
(305) 512-0083
Mailing address
4410 W 16TH AVE, SUITE 55, HIALEAH, FL 33012-7100
(305) 512-0080
(305) 512-0083

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME97323
FL

Other

Enumeration date
01/18/2008
Last updated
01/18/2008
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