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NPI Code Detail

MEDICARE: PASTEUR MEDICAL MIAMI GARDENS LLC

MEDICARE: PASTEUR MEDICAL MIAMI GARDENS LLC
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

General Provider Information

NPI Number : 1376800441
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASTEUR MEDICAL MIAMI GARDENS LLC
Provider Business Mailing Address
First Line : 9250 W FLAGLER ST STE 600
Second Line :
City : MIAMI
State : FL
Zip : 33174-3460
Country : US
Telephone Number : 786-422-6821
Fax Number :
Provider Business Practice Location Address
First Line : 5900 NW 183RD ST
Second Line :
City : HIALEAH
State : FL
Zip : 33015-6025
Country : US
Telephone Number : 305-722-8561
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : TARIK HAWATMEH
Credential :
Telephone Number : 786-422-6821
Provider Enumeration Date : 04/13/2012
Last Update Date : 03/04/2021

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Directions to “PASTEUR MEDICAL MIAMI GARDENS LLC ” Practice Location

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