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Organization

USPHS

Active
Other names
krome referral medical center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EUNICE JONES-WILLS (HOSPITAL ADMINISTRATION)
(305) 207-2121
Entity
Organization

Contact information

Practice address
18201 SW 12TH ST, MIAMI, FL 33194-2700
(305) 207-5086
Mailing address
18201 SW 12TH ST, MIAMI, FL 33194-2700
(305) 207-5086

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
PA9107559
FL

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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