Organization
MEDCORE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A MARRERO (PRESIDENT/ OWNER)
(305) 796-1561
Entity
Organization
Contact information
Practice address
1150 NW 72ND AVE, #450, MIAMI, FL 33126-1936
(305) 594-5682
(305) 594-0980
Mailing address
1150 NW 72ND AVE, #450, MIAMI, FL 33126-1936
(305) 594-5682
(305) 594-0980
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC5527
FL
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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