| La Union Medical Center Llc | |
|
620 Nw 33rd Ave Miami FL 33125-4106 | |
| (305) 456-8366 | |
| (305) 456-5900 |
| Full Name | La Union Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 620 Nw 33rd Ave, Miami, Florida |
| Authorized Official Name and Position | Jorge Perez (AMBR) |
| Authorized Official Contact | 3054568366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Union Medical Center Llc 620 Nw 33rd Ave Miami FL 33125-4106 Ph: (305) 456-8366 | La Union Medical Center Llc 620 Nw 33rd Ave Miami FL 33125-4106 Ph: (305) 456-8366 |
| NPI Number | 1245793462 |
|---|---|
| Provider Enumeration Date | 04/14/2019 |
| Last Update Date | 04/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245793462 | NPI | - | NPPES |
| 000000000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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