Interstate Medical Center Corp

NPI #1649641481 in Hialeah, Florida

Provider Information

NPI Number: 1649641481
Entity Type: Organization
Organization Name: Interstate Medical Center Corp
Primary Specialty: General Practice
Enumeration Date: Oct 19, 2015
Last Updated: Oct 19, 2015

Practice Location

Address: 4228 W 16TH AVE
City: Hialeah
State: Florida
ZIP Code: 33012-7624
Phone: (516) 737-8420

Authorized Official

Name: OSVALDO FERNANDEZ
Title: PRESIDENT
Phone: (516) 737-8420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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