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NPI Code Detail

MEDICARE: UNIVERSITY DR. MEDICAL OFFICE CORP.

MEDICARE: UNIVERSITY DR. MEDICAL OFFICE 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
1174400000XSpecialist

General Provider Information

NPI Number : 1073560637
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY DR. MEDICAL OFFICE CORP.
Provider Business Mailing Address
First Line : 7131 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-3805
Country : US
Telephone Number : 954-322-9113
Fax Number : 954-322-9123
Provider Business Practice Location Address
First Line : 7131 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-3805
Country : US
Telephone Number : 954-322-9113
Fax Number : 954-322-9123
Authorized Official
Title or Position : PRESIDENT
Name : MS. MARIBEL RODRIGUEZ
Credential :
Telephone Number : 954-322-9113
Provider Enumeration Date : 05/28/2006
Last Update Date : 08/22/2020

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Directions to “UNIVERSITY DR. MEDICAL OFFICE CORP. ” Practice Location

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