Organization
HATHOR WELLCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO RAFAEL FAJARDO POMPA (OWNER)
(786) 429-1495
Entity
Organization
Contact information
Practice address
13335 SW 124TH ST STE 206, MIAMI, FL 33186-7515
(786) 429-1495
(786) 227-6780
Mailing address
13335 SW 124TH ST STE 206, MIAMI, FL 33186-7515
(786) 429-1495
(786) 227-6780
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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