Organization
SOUTH MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK RUIZ-PANDO (PRESIDENT/CEO)
(786) 523-4646
Entity
Organization
Contact information
Practice address
15190 SW 136TH ST STE 30, MIAMI, FL 33196-2618
(786) 523-4646
Mailing address
15190 SW 136TH ST STE 30, MIAMI, FL 33196-2618
(786) 523-4646
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P12000091953
COMMERCIAL
FL
Enumeration date
12/18/2012
Last updated
12/18/2012
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