Organization
BROTHER MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO GUTIERREZ (PRESIDENT)
(786) 355-5750
Entity
Organization
Contact information
Practice address
3990 W FLAGLER ST, SUITE201, CORAL GABLES, FL 33134-1644
(305) 476-0033
(305) 476-0648
Mailing address
3990 W FLAGLER ST, SUITE 201, CORAL GABLES, FL 33134-1644
(305) 476-0033
(305) 476-0648
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC4446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC4446
AHCA
FL
Enumeration date
06/09/2006
Last updated
02/17/2009
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