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Cms/mch Primary Care Program
Primary Care Clinic/Center in Miami, Florida
NPI 1104895424

Cms/mch Primary Care Program is a Primary Care Clinic/Center based in Miami, FL and is specialized in Primary Care. Cms/mch Primary Care Program practices in Miami, FL. The NPI Number for Cms/mch Primary Care Program is 1104895424 and holds a License No. (Florida).

The current practice location address for Cms/mch Primary Care Program is 3100 Sw 62Nd Ave, Miami, FL and can be reached out via phone at 786-624-2490 and via fax at 786-624-5790.

Location: 3100 Sw 62Nd Ave, Miami, FL, 33155-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104895424
Provider Name
Cms/mch Primary Care Program
Credential
Provider Entity Type
Organization
Address
3100 Sw 62Nd Ave, Miami, FL, 33155-3009
Phone Number
786-624-2490
Fax Number
786-624-5790
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010060914 05 FL
institution
Provider Business Practice Location Address Details
Address
3100 Sw 62Nd Ave
City
Miami
State
Florida
Zip
33155-3009
Phone Number
786-624-2490
Fax Number
786-624-5790
person
Provider Business Mailing Address Details
Address
3100 Sw 62Nd Ave
City
Miami
State
Florida
Zip
33155-3009
Phone Number
786-624-2490
Fax Number
786-624-5790
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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