Organization
MEDIGROUP OF DADE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO MARTINEZ (PRESIDENT)
(786) 212-1007
Entity
Organization
Contact information
Practice address
3383 NW 7TH ST STE 306, MIAMI, FL 33125-4140
(786) 212-1007
(786) 703-7142
Mailing address
3383 NW 7TH ST STE 306, MIAMI, FL 33125-4140
(786) 212-1007
(786) 703-7142
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC11032
FL
Other
Enumeration date
01/20/2014
Last updated
03/12/2014
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