Manent Medical Center INC

NPI #1194111211 in Miami Lakes, Florida

Provider Information

NPI Number: 1194111211
Entity Type: Organization
Organization Name: Manent Medical Center INC
Primary Specialty: General Practice
Enumeration Date: Apr 15, 2015
Last Updated: Jun 8, 2015

Practice Location

Address: 5190 NW 167TH ST STE 310
City: Miami Lakes
State: Florida
ZIP Code: 33014-6338
Phone: (305) 504-9783

Authorized Official

Name: JAIME ALVERO FERNANDEZ, MA
Title: PRESIDENT
Phone: (305) 504-9783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Family Medicine - Obesity Medicine — Obesity Medicine	207QB0002X
General Practice	208D00000X	Primary

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