Organization
FLORIDA FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO FRANCISCO GUTIERREZ MT, RN. (OWNER)
(305) 444-3580
Entity
Organization
Contact information
Practice address
1800 SW 27TH AVE STE 214, MIAMI, FL 33145-2455
(305) 444-0515
Mailing address
1800 SW 27TH AVE STE 214, MIAMI, FL 33145-2455
(305) 444-0515
(305) 444-1736
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
9636
FL
Other
Enumeration date
12/08/2011
Last updated
10/05/2012
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