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823 Ne 125th St North Miami FL 33161-5711 | |
| (305) 895-7840 | |
| (305) 895-9557 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 823 Ne 125th St, North Miami, Florida |
| Authorized Official Name and Position | Jean Paul Metellus (OWNER) |
| Authorized Official Contact | 3058957840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
823 Ne 125th St North Miami FL 33161-5711 Ph: (305) 895-7840 | 823 Ne 125th St North Miami FL 33161-5711 Ph: (305) 895-7840 |
| NPI Number | 1821293127 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821293127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HCC4445 (Florida) | Primary |
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