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NPI Code Detail

MEDICARE: LATINO MEDICAL CENTER INC

MEDICARE: LATINO 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
1207Q00000XFamily Medicine Physician

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 : 1467899872
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATINO MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 21301 NW 2ND AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-2112
Country : US
Telephone Number : 305-947-4499
Fax Number : 786-657-2623
Provider Business Practice Location Address
First Line : 16600 NE 8TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3618
Country : US
Telephone Number : 305-947-4499
Fax Number : 786-657-2623
Authorized Official
Title or Position : PRESIDENT
Name : MR. RODNEY JOSEPH
Credential :
Telephone Number : 305-947-4499
Provider Enumeration Date : 05/24/2013
Last Update Date : 06/08/2015

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Directions to “LATINO MEDICAL CENTER INC ” Practice Location

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