Organization
CENTRO MEDICO OF SWEETWATER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELSA GONZALEZ (OWNER)
(305) 221-8661
Entity
Organization
Contact information
Practice address
320 SW 109TH AVE, MIAMI, FL 33174-1332
(305) 221-8661
Mailing address
320 SW 109TH AVE, MIAMI, FL 33174-1332
(305) 221-8661
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
FL
Other
Enumeration date
04/24/2007
Last updated
07/21/2022
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