Palm Lake Medical Center INC
Medical Genetics, Ph.D. Medical Genetics in Hialeah, FL. Organization (NPI-2).
NPI number1245361518
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245361518
- Entity type
- Organization (NPI-2)
- Legal business name
- Palm Lake Medical Center INC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170100000X | Medical Genetics, Ph.D. Medical Genetics | – | – | Yes |
Practice location
4715 Nw 157th StSuite 111-115
Hialeah, FL 33014-6435
Phone 305-405-2939
Mailing address
4715 Nw 157th StSuite 111-115
Hialeah, FL 33014-6435
Phone 305-405-2939
Authorized official
Angel Garcia
President
3055764291
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