CENTRO MEDICO FAMILIAR BUEN PASTOR INC NPI 1013243849

NPI Information

CENTRO MEDICO FAMILIAR BUEN PASTOR INC is a general practice in Hollywood, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CENTRO MEDICO FAMILIAR BUEN PASTOR INC NPI is 1013243849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 SHERIDAN ST
SUITE C
HOLLYWOOD, FL
ZIP 33021-535
Phone: (954) 882-0191
Fax: (954) 963-1557

The provider's authorized official is Gabriel Florez .
The authorized official title is Md and has the following contact phone number (954) 882-0191.

The CLIA number assigned to this NPI record is 10D2080293 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 10/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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