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Organization

MIAMI BEACH MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODOLFO DUMENIGO M.D. (OWNER)
(305) 534-0076
Entity
Organization

Contact information

Practice address
1200 ALTON RD, MIAMI BEACH, FL 33139-3810
(305) 534-0076
(305) 531-8075
Mailing address
1200 ALTON RD, MIAMI BEACH, FL 33139-3810
(305) 534-0076
(305) 531-8075

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME58111
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276555100
FL
Enumeration date
05/16/2006
Last updated
11/23/2010
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