MEDICARE: HAMMOCK 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
1	170100000X	Ph.D. Medical Genetics		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932139755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMMOCK MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	15122 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3228
Country	:	US
Telephone Number	:	305-383-3848
Fax Number	:	305-383-7601

Provider Business Practice Location Address
First Line	:	15122 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3228
Country	:	US
Telephone Number	:	305-383-3848
Fax Number	:	305-383-7601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAGALI M ISERN PEREZ
Credential	:
Telephone Number	:	305-383-3848

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/17/2008

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Directions to “HAMMOCK MEDICAL CENTER INC ” Practice Location

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