Organization
BMA CUTLER RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENA M BANAS RN (CLINICAL MANAGER)
(305) 252-7575
Entity
Organization
Contact information
Practice address
18942 S DIXIE HWY, MIAMI, FL 33157-7711
(305) 252-7575
(305) 252-9539
Mailing address
18942 S DIXIE HWY, MIAMI, FL 33157-7711
(305) 252-7575
(305) 252-9539
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
389855-9
FL
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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