Organization
HIALEAH PHYSICIAN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D PELLEGRINO DC (MANAGER)
(305) 971-8484
Entity
Organization
Contact information
Practice address
1901 W 39TH ST, HIALEAH, FL 33012-7001
(305) 971-8484
Mailing address
1901 W 39TH ST, HIALEAH, FL 33012-7001
(305) 971-8484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9109
FL
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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