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NPI Code Detail

MEDICARE: DOCTORS MEDICAL CENTER INC

MEDICARE: DOCTORS 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
1332900000XNon-Pharmacy Dispensing Site

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 : 1528486941
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 1200 NE 125TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5936
Country : US
Telephone Number : 305-685-5688
Fax Number : 786-693-7731
Provider Business Practice Location Address
First Line : 20215 NW 2ND AVE
Second Line : SUITE 1
City : MIAMI
State : FL
Zip : 33169-2538
Country : US
Telephone Number : 305-685-5688
Fax Number : 305-652-4545
Authorized Official
Title or Position : PRESIDENT/ CEO
Name : VENTURA DE PAZ
Credential :
Telephone Number : 305-685-5688
Provider Enumeration Date : 04/02/2014
Last Update Date : 04/02/2014

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Directions to “DOCTORS MEDICAL CENTER INC ” Practice Location

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