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NPI Code Detail

MEDICARE: PMC MEDICAL CENTER, INC.

MEDICARE: PMC MEDICAL CENTER, INC.
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
1261QM1300XMulti-Specialty Clinic/CenterHCC3895FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295735132
Entity Type Code : Organization
Provider Name (Legal Business Name) : PMC MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 1500 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33145-2043
Country : US
Telephone Number : 305-448-1500
Fax Number : 305-448-8681
Provider Business Practice Location Address
First Line : 1500 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33145-2043
Country : US
Telephone Number : 305-448-1500
Fax Number : 305-448-8681
Authorized Official
Title or Position : OWNER
Name : MRS. MAYRA ARGUELLES
Credential :
Telephone Number : 305-448-1500
Provider Enumeration Date : 07/21/2005
Last Update Date : 09/17/2015

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Directions to “PMC MEDICAL CENTER, INC. ” Practice Location

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