Dedicated Indiana Holding LLC
NPI #1831977479 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1831977479
- Entity Type
- Organization
- Organization Name
- Dedicated Indiana Holding LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 15, 2023
- Last Updated
- Sep 15, 2023
Practice Location
- Address
- 1395 NW 167TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-5710
- Phone
- (305) 628-6117
Authorized Official
- Name
- MARY CHEN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 628-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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