Organization
HAMMOCKS TRAUMA CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA SUAREZ PRESIDENTE (PRESIDENT)
(786) 703-1504
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 1C, MIAMI, FL 33172-7012
(786) 703-1504
(786) 703-1504
Mailing address
175 FONTAINEBLEAU BLVD STE 1C, MIAMI, FL 33172-7012
(786) 703-1504
(786) 703-1504
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC3663
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/12/2012
Last updated
08/20/2014
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