Evelyn Diagnostic & Medical Group INC

NPI #1124220470 in Hialeah, Florida

Provider Information

NPI Number: 1124220470
Entity Type: Organization
Organization Name: Evelyn Diagnostic & Medical Group INC
Primary Specialty: General Practice
Enumeration Date: May 31, 2007
Last Updated: Jun 27, 2008

Practice Location

Address: 7000 W 12TH AVE
Address 2: SUITE 15
City: Hialeah
State: Florida
ZIP Code: 33014-5154
Phone: (305) 512-1850

Authorized Official

Name: ERNESTO M CARRALERO, PA
Title: PRESIDENT
Phone: (305) 512-1850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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