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NPI Code Detail

MEDICARE: L C MEDICAL CENTER, INC

MEDICARE: L C 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
1261Q00000XClinic/CenterME 92214FL

General Provider Information

NPI Number : 1700822749
Entity Type Code : Organization
Provider Name (Legal Business Name) : L C MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 13875 SW 20TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33175-7514
Country : US
Telephone Number : 305-244-2546
Fax Number : 305-368-6870
Provider Business Practice Location Address
First Line : 7000 W 12TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33014-5154
Country : US
Telephone Number : 305-362-6868
Fax Number : 305-362-6870
Authorized Official
Title or Position : PRESIDENT
Name : DR. ISMAEL LABRADOR
Credential : MD
Telephone Number : 305-244-2546
Provider Enumeration Date : 06/20/2006
Last Update Date : 08/22/2020

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Directions to “L C MEDICAL CENTER, INC ” Practice Location

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