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NOSTRUM MEDICAL CENTER WEST DADE LLC NPI 1285901926


NPI Information

NPI: 1285901926
Provider Name: NOSTRUM MEDICAL CENTER WEST DADE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4155 SW 130TH AVE STE 102
MIAMI, FL
ZIP 33175
Phone: (305) 223-3580
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NOSTRUM MEDICAL CENTER WEST DADE LLC is a general practice in Miami, 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 NOSTRUM MEDICAL CENTER WEST DADE LLC NPI is 1285901926. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4155 SW 130TH AVE STE 102
MIAMI, FL
ZIP 33175-414
Phone: (305) 223-3580
Fax: (305) 223-3582

The provider's authorized official is Jose A Esnard .
The authorized official title is President and has the following contact phone number (305) 223-3580.

The enumeration date for this NPI number is 11/23/2011 and was last updated on 11/23/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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