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Ebenezer Medical Center Llc
Primary Care Clinic/Center in Homestead, Florida
NPI 1134642465

Ebenezer Medical Center Llc is a Primary Care Clinic/Center based in Homestead, FL and is specialized in Primary Care. Ebenezer Medical Center Llc practices in Homestead, FL. The NPI Number for Ebenezer Medical Center Llc is 1134642465 and holds a License No. (Florida).

The current practice location address for Ebenezer Medical Center Llc is 646 W Palm Dr, Homestead, FL and can be reached out via phone at 305-330-5393 and via fax at 305-773-0220.

Location: 646 W Palm Dr, Homestead, FL, 33034-3208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134642465
Provider Name
Ebenezer Medical Center Llc
Credential
Provider Entity Type
Organization
Address
646 W Palm Dr, Homestead, FL, 33034-3208
Phone Number
305-330-5393
Fax Number
305-773-0220
Provider Enumeration Date
07/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010733300 05 FL
institution
Provider Business Practice Location Address Details
Address
646 W Palm Dr
City
Homestead
State
Florida
Zip
33034-3208
Phone Number
305-330-5393
Fax Number
305-773-0220
person
Provider Business Mailing Address Details
Address
646 W Palm Dr
City
Homestead
State
Florida
Zip
33034-3208
Phone Number
305-330-5393
Fax Number
305-773-0220
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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