Organization · NPI-2
305 Medical Care INC
Family Medicine · Miami, FL
NPI number1700439700
StatusActive
Last updated in NPPESJul 18, 2019
Details
- NPI
- 1700439700
- Entity type
- Organization (NPI-2)
- Legal business name
- 305 Medical Care INC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2019
- Last updated
- Jul 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Practice location
8900 Sw 24th#209
Miami, FL 33165
Phone 786-266-7557
Mailing address
8900 Sw 24th#209
Miami, FL 33165
Phone 786-266-7557
Authorized official
Christian S Dominguez
C.E.O
7862667551
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