Organization
RODOLFO DUMENIGO MD PA
Active
Other names
CLINICAL CARE MEDICAL CENTERA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE D SUAREZ (CMO)
(305) 534-0076
Entity
Organization
Contact information
Practice address
12550 BISCAYNE BLVD, NORTH MIAMI, FL 33181-2541
(305) 899-7090
(305) 899-7002
Mailing address
1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
(305) 534-0076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
10/30/2023
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