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NPI Code Detail

MEDICARE: DOCTORS HEALTH GROUP NW INC

MEDICARE: DOCTORS HEALTH GROUP NW 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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1316991995
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS HEALTH GROUP NW INC
Provider Business Mailing Address
First Line : 881 E 2ND AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4205
Country : US
Telephone Number : 305-882-1100
Fax Number : 305-887-3273
Provider Business Practice Location Address
First Line : 881 E 2ND AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4205
Country : US
Telephone Number : 305-882-1100
Fax Number : 305-887-3273
Authorized Official
Title or Position : PRESIDENT
Name : ANGEL F MENDEZ
Credential : MD
Telephone Number : 305-882-1100
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/13/2010

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Directions to “DOCTORS HEALTH GROUP NW INC ” Practice Location

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