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Organization

WESTERN QUALITY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDURADO CHIRINO (PREDIDENT)
(305) 300-8380
Entity
Organization

Contact information

Practice address
15476 NW 77TH CT, SUITE355, HIALEAH, FL 33016-5823
(305) 300-8380
(305) 675-0381
Mailing address
15476 NW 77TH CT, SUITE355, HIALEAH, FL 33016-5823
(305) 300-8380
(305) 675-0381

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME72685
FL
305R00000X
Preferred Provider Organization
PT7871
FL

Other

Enumeration date
04/19/2009
Last updated
05/17/2009
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