Ssld Group Corp

NPI #1154207678 in Miami Gardens, Florida

Provider Information

NPI Number: 1154207678
Entity Type: Organization
Organization Name: Ssld Group Corp
Primary Specialty: Clinic/Center
Enumeration Date: Aug 12, 2025
Last Updated: Aug 12, 2025

Practice Location

Address: 4789 NW 167TH ST
City: Miami Gardens
State: Florida
ZIP Code: 33055-4242
Phone: (305) 413-3863

Authorized Official

Name: SURAFEL KEBEDE GEBRESELASSIE, MD
Title: PRESIDENT
Phone: (305) 413-3863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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