| Shalom Medical Group Llc | |
|
8302 Nw 103rd St Ste 205 Hialeah Gardens FL 33016-4698 | |
| (786) 651-2442 | |
| Not Available |
| Full Name | Shalom Medical Group Llc |
|---|---|
| Speciality | Case Management |
| Location | 8302 Nw 103rd St Ste 205, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Surisaday Rones (OWNER) |
| Authorized Official Contact | 7863749928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Medical Group Llc 8302 Nw 103rd St Ste 205 Hialeah Gardens FL 33016-4698 Ph: (786) 651-2442 | Shalom Medical Group Llc 8302 Nw 103rd St Ste 205 Hialeah Gardens FL 33016-4698 Ph: (786) 651-2442 |
| NPI Number | 1619793452 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619793452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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