Healthcare Provider Details
I. General information
NPI: 1134929169
Provider Name (Legal Business Name): ALLMED CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2441 NW 7TH ST
MIAMI FL
33125-3134
US
IV. Provider business mailing address
2441 NW 7TH ST
MIAMI FL
33125-3134
US
V. Phone/Fax
- Phone: 305-705-5666
- Fax: 305-402-6101
- Phone: 305-705-5666
- Fax: 305-402-6101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HENDRY
J
PEREZ PASCUAL
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 305-335-9627