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Jesus Montesano Md Llc
Medical Specialty Clinic/Center in Hialeah, Florida
NPI 1043563513

Jesus Montesano Md Llc is a Medical Specialty Clinic/Center based in Miami, FL and is specialized in Medical Specialty. Jesus Montesano Md Llc practices in Hialeah, FL. The NPI Number for Jesus Montesano Md Llc is 1043563513 and holds a License No. ME 57047 (Florida).

The current practice location address for Jesus Montesano Md Llc is 664 E 25Th St, Hialeah, FL and can be reached out via phone at 305-835-7625 and via fax at 305-835-0550. You can also correspond with Jesus Montesano Md Llc through the mailing address at 1000 NW 57TH CT STE 400, MIAMI, FL - 33126-3292 (mailing address contact number: 305-649-8100).

Location: 664 E 25Th St, Hialeah, FL, 33126-3292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043563513
Provider Name
Jesus Montesano Md Llc
Credential
Provider Entity Type
Organization
Address
664 E 25Th St, Hialeah, FL, 33126-3292
Phone Number
305-835-7625
Fax Number
305-835-0550
Provider Enumeration Date
10/22/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
064494300 05 FL
institution
Provider Business Practice Location Address Details
Address
664 E 25Th St
City
Hialeah
State
Florida
Zip
33013-3805
Phone Number
305-835-7625
Fax Number
305-835-0550
person
Provider Business Mailing Address Details
Address
664 E 25Th St
City
Hialeah
State
Florida
Zip
33013-3805
Phone Number
305-835-7625
Fax Number
305-835-0550
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME 57047 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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