21 Medical Group LLC
NPI #1578802070 in Miami Shores, Florida
Provider Information
- NPI Number
- 1578802070
- Entity Type
- Organization
- Organization Name
- 21 Medical Group LLC
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Feb 5, 2013
- Last Updated
- Feb 5, 2013
Practice Location
- Address
- 9526 NE 2ND AVE
- Address 2
- SUITE 102
- City
- Miami Shores
- State
- Florida
- ZIP Code
- 33138-2750
- Phone
- (305) 751-0007
Authorized Official
- Name
- DR. JUAN ANTONIO QUINTANA, M.D.
- Title
- MD/OWNER
- Phone
- (305) 751-0007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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