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NPI Code Detail

MEDICARE: MIAMI FAMILY CARE INC

MEDICARE: MIAMI FAMILY CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianME81313FL

General Provider Information

NPI Number : 1003005067
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI FAMILY CARE INC
Provider Business Mailing Address
First Line : 640 NW 36TH CT STE D
Second Line :
City : MIAMI
State : FL
Zip : 33125-4038
Country : US
Telephone Number : 305-631-8555
Fax Number : 305-671-3266
Provider Business Practice Location Address
First Line : 15806 SW 98TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33196-6105
Country : US
Telephone Number : 305-586-9812
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. RAFAEL ARTURO UBEDA
Credential : MD
Telephone Number : 305-631-8555
Provider Enumeration Date : 10/16/2007
Last Update Date : 10/16/2007

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Directions to “MIAMI FAMILY CARE INC ” Practice Location

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