Organization · NPI-2

Alive Medical Center Group, INC.

Family Medicine · Hialeah, FL

NPI number1124065248
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1124065248
Entity type
Organization (NPI-2)
Legal business name
Alive Medical Center Group, INC.
Organization subpart
No
Enumeration date
May 31, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

8001 W 26 Ave
#3
Hialeah, FL 33016

Phone 305-512-5724

Mailing address

8001 W 26 Ave
#3
Hialeah, FL 33016

Phone 305-512-5724

Authorized official

Felix Hernandez
President
7862345060

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