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Organization

USCG CLINIC AIR STATION MIAMI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA FITZGERALD (HSWL SC)
(757) 628-4363
Entity
Organization

Contact information

Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(757) 628-4363
Mailing address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(757) 628-4363

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
01/12/2017
Last updated
01/12/2017
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