Organization · NPI-2

Bof Medical Center ,inc

Clinic/Center · North Miami, FL

NPI number1063786390
StatusActive
Last updated in NPPESMar 5, 2012

Details

NPI
1063786390
Entity type
Organization (NPI-2)
Legal business name
Bof Medical Center ,inc
Organization subpart
No
Enumeration date
Mar 5, 2012
Last updated
Mar 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

12440 Biscayne Blvd
North Miami, FL 33181-2521

Phone 954-239-0478 · Fax 954-239-0485

Mailing address

12440 Biscayne Blvd
North Miami, FL 33181-2521

Phone 954-239-0478 · Fax 954-239-0485

Authorized official

Josie Millares
Front Dest
9542390478

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