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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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