Organization
NOSTRUM MEDICAL CENTER WEST LITTLE HAVANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LORA M.D. (PRESIDENT)
(305) 642-9997
Entity
Organization
Contact information
Practice address
42 NW 27TH AVE STE 401, MIAMI, FL 33125-5135
(305) 642-9997
(305) 642-9520
Mailing address
42 NW 27TH AVE STE 401, MIAMI, FL 33125-5135
(305) 642-9997
(305) 642-9520
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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