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NPI Code Detail

MEDICARE: APEX MEDICAL DIAGNOSTIC CORP

MEDICARE: APEX MEDICAL DIAGNOSTIC CORP
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 : 1578757449
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX MEDICAL DIAGNOSTIC CORP
Provider Business Mailing Address
First Line : 2141 NW 7TH ST
Second Line : SUITE B
City : MIAMI
State : FL
Zip : 33125-3483
Country : US
Telephone Number : 786-312-4424
Fax Number :
Provider Business Practice Location Address
First Line : 2141 NW 7TH ST
Second Line : SUITE B
City : MIAMI
State : FL
Zip : 33125-3483
Country : US
Telephone Number : 786-312-4424
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : VLADIMIR PRIETO
Credential :
Telephone Number : 786-312-4424
Provider Enumeration Date : 09/04/2007
Last Update Date : 04/08/2008

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Directions to “APEX MEDICAL DIAGNOSTIC CORP ” Practice Location

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