| Pride Group Center, Inc. | |
|
692 W 29th St 12 Hialeah FL 33012-5620 | |
| (786) 274-0386 | |
| Not Available |
| Full Name | Pride Group Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 692 W 29th St, Hialeah, Florida |
| Authorized Official Name and Position | Felipe Cruz (PRESIDENT) |
| Authorized Official Contact | 7862740386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Group Center, Inc. 692 W 29th St 12 Hialeah FL 33012-5620 Ph: (786) 274-0386 | Pride Group Center, Inc. 692 W 29th St 12 Hialeah FL 33012-5620 Ph: (786) 274-0386 |
| NPI Number | 1003866609 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003866609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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