| So FL Multispecialty Associate | |
|
400 W 41st St 103 Miami Beach FL 33140-3516 | |
| (305) 695-0644 | |
| (305) 532-1612 |
| Full Name | So FL Multispecialty Associate |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 400 W 41st St, Miami Beach, Florida |
| Authorized Official Name and Position | Miguel Isaac Garcia (CEO & PRESIDENT) |
| Authorized Official Contact | 3056950644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| So FL Multispecialty Associate 400 W 41st St 201 Miami Beach FL 33140-3516 Ph: (305) 695-0644 | So FL Multispecialty Associate 400 W 41st St 103 Miami Beach FL 33140-3516 Ph: (305) 695-0644 |
| NPI Number | 1174961833 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174961833 | NPI | - | NPPES |
| 262022700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Florida) | Primary |
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