Organization
ADCOS 75 MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADDY MORAN (OFFICE MANAGER)
(305) 597-0869
Entity
Organization
Contact information
Practice address
1150 NW 72ND AVE, MIAMI, FL 33126-1936
(305) 597-0869
(305) 597-0873
Mailing address
1150 NW 72ND AVE, MIAMI, FL 33126-1936
(305) 597-0869
(305) 597-0873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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