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NPI Code Detail

MEDICARE: ST MICHAEL MEDICAL CENTER INC

MEDICARE: ST MICHAEL MEDICAL CENTER 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
1207QA0505XAdult Medicine PhysicianME0065663FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235156910
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST MICHAEL MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 620 NE 128TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4829
Country : US
Telephone Number : 305-981-1015
Fax Number : 305-981-1016
Provider Business Practice Location Address
First Line : 620 NE 128TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4829
Country : US
Telephone Number : 305-981-1015
Fax Number : 305-981-1016
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOSEPH M LEMAIRE
Credential : M.D., M.PH
Telephone Number : 305-981-1015
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/28/2008

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Directions to “ST MICHAEL MEDICAL CENTER INC ” Practice Location

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