Organization
CPC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHERVONY (VICE PRESIDENT)
(305) 854-6661
Entity
Organization
Contact information
Practice address
2455 SW 27TH AVE, #100, MIAMI, FL 33145-3663
(305) 854-6661
Mailing address
2455 SW 27TH AVE, #100, MIAMI, FL 33145-3663
(305) 854-6661
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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