Organization
CENTURY MEDICAL CENTER OF SOUTH DADE LLC
Active
Other names
Westchester Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD MIREYA GALLARDO PIMENTEL (OFFICER)
(786) 461-1020
Entity
Organization
Contact information
Practice address
1645 SW 107TH AVE, MIAMI, FL 33165-7344
(305) 642-1040
Mailing address
1645 SW 107TH AVE, MIAMI, FL 33165-7344
(305) 642-1040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/07/2021
Last updated
08/08/2022
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