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NPI Code Detail

MEDICARE: GREATER MIAMI PANEL INC

MEDICARE: GREATER MIAMI PANEL 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
1207RC0000XCardiovascular Disease PhysicianME55108FL

General Provider Information

NPI Number : 1942552799
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER MIAMI PANEL INC
Provider Business Mailing Address
First Line : 8020 NW 167TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33016-3426
Country : US
Telephone Number : 305-654-7887
Fax Number :
Provider Business Practice Location Address
First Line : 8020 NW 167TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33016-3426
Country : US
Telephone Number : 305-654-7887
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RAFAH JARAKI
Credential :
Telephone Number : 305-654-7887
Provider Enumeration Date : 10/03/2012
Last Update Date : 10/12/2012

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Directions to “GREATER MIAMI PANEL INC ” Practice Location

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