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NPI Code Detail

MEDICARE: MIAMI DADE HEALTH CENTERS

MEDICARE: MIAMI DADE HEALTH CENTERS
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
1302F00000XExclusive Provider Organization

General Provider Information

NPI Number : 1285654665
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI DADE HEALTH CENTERS
Provider Business Mailing Address
First Line : 3233 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5427
Country : US
Telephone Number : 305-642-0590
Fax Number : 305-643-6326
Provider Business Practice Location Address
First Line : 2600 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1425
Country : US
Telephone Number : 305-631-0660
Fax Number : 305-631-1362
Authorized Official
Title or Position : PRESIDENT
Name : LUIS CRUZ
Credential : M.D.
Telephone Number : 305-642-0590
Provider Enumeration Date : 07/20/2006
Last Update Date : 08/22/2020

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Directions to “MIAMI DADE HEALTH CENTERS ” Practice Location

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