Organization Name: | YOUR FIRSY MEDICAL CENTER OF FLORIDA INC |
NPI Number: | 1013345230 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NELSON RAMOS (PRESIDENT) |
Mailing Address: | 3750 W 16th Ave Suite 200 Hialeah |
State: | FL US |
Postal Code: | 330124654 |
Phone Number: | 3055571807 |
Fax Number: | 3055571809 |
NPI Enumeration Date: | 10/25/2013 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | OS11815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |