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NPI Code Detail

MEDICARE: NOSTRUM MEDICAL CENTER,PMC,LLC

MEDICARE: NOSTRUM MEDICAL CENTER,PMC,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
1207R00000XInternal Medicine PhysicianME64467FL

General Provider Information

NPI Number : 1518204270
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOSTRUM MEDICAL CENTER,PMC,LLC
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 : PRESIDENT
Name : FRANCESCO CABRERA
Credential : M.D.
Telephone Number : 305-448-1500
Provider Enumeration Date : 01/14/2013
Last Update Date : 01/14/2013

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Directions to “NOSTRUM MEDICAL CENTER,PMC,LLC ” Practice Location

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