Organization
MEDICAO DE LA FAMILIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO CARBALLIDO (PRESIDENT)
(305) 885-1971
Entity
Organization
Contact information
Practice address
865 E 10TH AVE, HIALEAH, FL 33010-4645
(305) 885-1971
(305) 885-1973
Mailing address
865 E 10TH AVE, HIALEAH, FL 33010-4645
(305) 885-1971
(305) 885-1973
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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