MEDICARE: UNIVERSAL MEDICAL CENTRE PA

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
1	207R00000X	Internal Medicine Physician	OS8309	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1295986743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MEDICAL CENTRE PA

Provider Business Mailing Address
First Line	:	13377 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4134
Country	:	US
Telephone Number	:	305-893-8306
Fax Number	:	305-893-8354

Provider Business Practice Location Address
First Line	:	13377 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4134
Country	:	US
Telephone Number	:	305-893-8306
Fax Number	:	305-893-8354

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SMITH JOSEPH
Credential	:	DO
Telephone Number	:	305-893-8306

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	11/13/2009

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Directions to “UNIVERSAL MEDICAL CENTRE PA ” Practice Location

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