institution
Emmanuel Medical Center Llc
General Practice Physician in Miami, Florida
NPI 1164790986

Emmanuel Medical Center Llc is a General Practice Physician based in Miami, FL. Emmanuel Medical Center Llc practices in Miami, FL. The NPI Number for Emmanuel Medical Center Llc is 1164790986 and holds a License No. ACN223 (Florida).

The current practice location address for Emmanuel Medical Center Llc is 10613 Hammocks Blvd., #212, Miami, FL and can be reached out via phone at 954-424-1873 and via fax at 954-200-7814.

Location: 10613 Hammocks Blvd., #212, Miami, FL, 33196
institution
Provider Profile Details
NPI Number
1164790986
Provider Name
Emmanuel Medical Center Llc
Credential
Provider Entity Type
Organization
Address
10613 Hammocks Blvd., #212, Miami, FL, 33196
Phone Number
954-424-1873
Fax Number
954-200-7814
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
AE622Y 01 FL MEDICARE
278912400 05 FL
institution
Provider Business Practice Location Address Details
Address
10613 Hammocks Blvd., #212
City
State
Zip
33196
Phone Number
954-424-1873
Fax Number
954-200-7814
person
Provider Business Mailing Address Details
Address
10613 Hammocks Blvd., #212
City
State
Zip
33196
Phone Number
954-424-1873
Fax Number
954-200-7814
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ACN223 (Florida)
Definition
Definition to come...
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