Organization
BODY-MIND MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILEANA MARGARITA RODICIO M.D. (OWNER)
(786) 320-2295
Entity
Organization
Contact information
Practice address
3902 SW 144TH AVE, MIAMI, FL 33175-7813
(786) 320-2295
Mailing address
3902 SW 144TH AVE, MIAMI, FL 33175-7813
(786) 320-2295
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME88103
FL
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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