Organization
PENATE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA PENATE (OWNER)
(305) 772-8224
Entity
Organization
Contact information
Practice address
6850 W 12TH AVE, HIALEAH, FL 33014-5114
(786) 272-9170
(786) 245-0751
Mailing address
8200 SW 117TH AVE STE 112, MIAMI, FL 33183-4825
(786) 272-9170
(786) 245-0751
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
04/30/2024
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