Organization
ADC MILLER SQUARE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
13840 SW 56TH ST, MIAMI, FL 33175-6061
(305) 387-6453
Mailing address
13840 SW 56TH ST, MIAMI, FL 33175-6061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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