Organization
EPIC MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JAIMES CH (ADMINISTRATOR)
(305) 244-5883
Entity
Organization
Contact information
Practice address
12277 SW 130TH ST, MIAMI, FL 33186-6218
(305) 244-5883
(305) 203-0546
Mailing address
12277 SW 130TH ST, MIAMI, FL 33186-6218
(305) 244-5883
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8107
MEDICAL LICENSE
FL
Enumeration date
12/14/2022
Last updated
12/14/2022
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