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CORAL BLUE MEDICAL CENTER LLC NPI 1639641392


NPI Information

NPI: 1639641392
Provider Name: CORAL BLUE MEDICAL CENTER LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8890 SW 24TH ST STE 214
MIAMI, FL
ZIP 33165
Phone: (786) 641-5100
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CORAL BLUE MEDICAL CENTER LLC is a clinic center in Miami, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CORAL BLUE MEDICAL CENTER LLC NPI is 1639641392. The provider is registered as an organization entity type.

The provider's business location address is:

8890 SW 24TH ST STE 214
MIAMI, FL
ZIP 33165-060
Phone: (786) 641-5100
Fax: (786) 456-5350

The provider's authorized official is Omar Izquierdo .
The authorized official title is Owner and has the following contact phone number (786) 641-5100.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 12/19/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 5/5/2024

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