Organization · NPI-2

Clp Medical Center INC

General Practice · North Miami Beach, FL

NPI number1144729476
StatusActive
Last updated in NPPESFeb 1, 2018

Details

NPI
1144729476
Entity type
Organization (NPI-2)
Legal business name
Clp Medical Center INC
Organization subpart
No
Enumeration date
Feb 1, 2018
Last updated
Feb 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
207Q00000X Family Medicine––

Practice location

1869 Ne 163rd St Ste 1
North Miami Beach, FL 33162-4805

Phone 305-948-9525 · Fax 305-948-9518

Mailing address

1869 Ne 163rd St Ste 1
North Miami Beach, FL 33162-4805

Phone 305-948-9525 · Fax 305-948-9518

Authorized official

Cesar Perez
Owner
7864554025

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