Organization
MODERN MED CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER PEREZ (ADMINISTRATOR)
(305) 760-9339
Entity
Organization
Contact information
Practice address
8950 SW 74TH CT STE 101, MIAMI, FL 33156-3172
(305) 760-9339
Mailing address
8950 SW 74TH CT STE 101, MIAMI, FL 33156-3172
(305) 760-9339
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12185
AHCA
FL
Enumeration date
03/18/2020
Last updated
03/18/2020
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