Dedicated Missouri Holding, LLC
NPI #1053958082 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1053958082
- Entity Type
- Organization
- Organization Name
- Dedicated Missouri Holding, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 10, 2019
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 1395 NW 167TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-5710
- Phone
- (305) 628-6117
Authorized Official
- Name
- MARY CHEN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 831-4722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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