Organization
UNIVERSAL MEDICAL CENTER OF WESTCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OCTAVIO ALEXIS BRAVO (MANAGING MEMBER)
(786) 422-6525
Entity
Organization
Contact information
Practice address
1631 S.W. 107 AVE, MIAMI, FL 33165
(786) 422-6525
(786) 422-6535
Mailing address
1631 S.W. 107 AVE, MIAMI, FL 33165
(786) 422-6525
(786) 422-6535
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8316
FL
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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