Organization
MERCH MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILE LORENZO (PRESIDENT)
(786) 663-2205
Entity
Organization
Contact information
Practice address
12959 SW 112TH ST, MIAMI, FL 33186-4768
(786) 663-2205
Mailing address
12959 SW 112TH ST, MIAMI, FL 33186-4768
(786) 663-2205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC8535
FL
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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