Organization
COMMUNITY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDANIA M. FERNANDEZ M.D. (VICEPRESIDENT)
(305) 826-8353
Entity
Organization
Contact information
Practice address
3160 W 76TH ST, HIALEAH, FL 33018-3886
(305) 826-8353
(305) 826-8012
Mailing address
3160 W 76TH ST, HIALEAH, FL 33018-3886
(305) 826-8353
(305) 826-8012
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME82719
FL
Other
Enumeration date
06/03/2007
Last updated
11/12/2009
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