Organization
PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL IGNACIO TANO M.D. (PRESIDENT)
(305) 649-3260
Entity
Organization
Contact information
Practice address
1455 SW 27TH AVE, MIAMI, FL 33145-1234
(305) 649-3260
(305) 649-3261
Mailing address
1455 SW 27TH AVE, MIAMI, FL 33145-1234
(305) 649-3260
(305) 649-3261
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME46299
FL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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