Organization · NPI-2
All Level General Medicine
Clinic/Center · Hialeah, FL
NPI number1336035351
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1336035351
- Entity type
- Organization (NPI-2)
- Legal business name
- All Level General Medicine
- Organization subpart
- No
- Enumeration date
- Jun 16, 2025
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2100 W 76th St Ste 408Hialeah, FL 33016-5504
Phone 786-542-5056
Mailing address
2100 W 76th St Ste 408Hialeah, FL 33016-5504
Phone 786-542-5056
Authorized official
Lissett M Rodriguez Aguilera
Owner
7865425056
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