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NPI Code Detail

MEDICARE: PEACE HEALTH INSTITUTE CORP

MEDICARE: PEACE HEALTH INSTITUTE 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
1207Q00000XFamily Medicine Physician
2261Q00000XClinic/Center
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1275904344
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE HEALTH INSTITUTE CORP
Provider Business Mailing Address
First Line : 6447 MIAMI LAKES DR E STE 222E
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2764
Country : US
Telephone Number : 305-401-4728
Fax Number : 305-402-0422
Provider Business Practice Location Address
First Line : 6447 MIAMI LAKES DR E STE 222E
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2764
Country : US
Telephone Number : 305-401-4728
Fax Number : 305-402-0422
Authorized Official
Title or Position : PRESIDENT
Name : ORLANDO A PEREZ
Credential :
Telephone Number : 305-401-4728
Provider Enumeration Date : 10/14/2015
Last Update Date : 05/10/2017

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Directions to “PEACE HEALTH INSTITUTE CORP ” Practice Location

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