Professional Medical Services & Management
Clinic/Center, Multi-Specialty in Hialeah, FL. Organization (NPI-2).
NPI number1649600883
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1649600883
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Medical Services & Management
- Organization subpart
- No
- Enumeration date
- Nov 26, 2013
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | FL |
Practice location
315 W 9th St2nd Floor
Hialeah, FL 33010-3853
Phone 786-360-4528
Mailing address
315 W 9th St2nd Floor
Hialeah, FL 33010-3853
Phone 786-360-4528
Authorized official
Sandy Lopez
President
7864993499
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