St. John Clinic Medical Center

NPI #1760470652 in Miami, Florida

Provider Information

NPI Number: 1760470652
Entity Type: Organization
Organization Name: St. John Clinic Medical Center
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Oct 13, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 161 NW 29TH ST
City: Miami
State: Florida
ZIP Code: 33127-3929
Phone: (305) 576-0231

Authorized Official

Name: MR. REYNALDO CRUZ
Title: CEO
Phone: (305) 576-0231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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