Healthcare Provider Details
I. General information
NPI: 1033382387
Provider Name (Legal Business Name): AROUND THE CLOCK MEDICAL CENTER OF LIBERTY CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/08/2008
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5935 NW 12TH AVE
MIAMI FL
33127-1053
US
IV. Provider business mailing address
5935 NW 12TH AVE
MIAMI FL
33127-1053
US
V. Phone/Fax
- Phone: 305-757-1872
- Fax: 305-758-3496
- Phone: 305-757-1872
- Fax: 305-758-3496
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TODD
D
GLASSMAN
Title or Position: MEDICAL DOCTOR
Credential: DO
Phone: 305-757-1872