MEDICARE: HOPE MEDICAL CORP

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043261738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE MEDICAL CORP

Provider Business Mailing Address
First Line	:	8420 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2045
Country	:	US
Telephone Number	:	305-552-0137
Fax Number	:

Provider Business Practice Location Address
First Line	:	8420 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2045
Country	:	US
Telephone Number	:	305-552-0137
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORGE DUBOIS
Credential	:	MD
Telephone Number	:	305-552-0137

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	08/22/2020

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Directions to “HOPE MEDICAL CORP ” Practice Location

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