Medstation Miami Primary Care LLC

NPI #1548716657 in South Miami, Florida

Provider Information

NPI Number: 1548716657
Entity Type: Organization
Organization Name: Medstation Miami Primary Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 29, 2016
Last Updated: Aug 29, 2016

Practice Location

Address: 6701 SUNSET DR
Address 2: SUITE # 112
City: South Miami
State: Florida
ZIP Code: 33143-4529
Phone: (305) 667-1511

Authorized Official

Name: THIERRY O. JACQUEMIN, DO
Title: MANAGEER MEMBER
Phone: (305) 667-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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