Banner Medical Center Corp
NPI #1245622406 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1245622406
- Entity Type
- Organization
- Organization Name
- Banner Medical Center Corp
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Feb 25, 2015
- Last Updated
- Feb 25, 2015
Practice Location
- Address
- 6447 MIAMI LAKES DR E STE 222E
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33014-2764
- Phone
- (305) 219-9748
Authorized Official
- Name
- MIRIALA GUTIERREZ
- Title
- PRESIDENT
- Phone
- (305) 219-9748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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