Provider Demographics
NPI:1043600851
Name:COMMUNITY HEALTH CENTER OF MIAMI LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH CENTER OF MIAMI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANDRON GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-455-7454
Mailing Address - Street 1:7000 SW 62ND AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4719
Mailing Address - Country:US
Mailing Address - Phone:305-455-7454
Mailing Address - Fax:305-455-7435
Practice Address - Street 1:7000 SW 62ND AVE STE 300
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4719
Practice Address - Country:US
Practice Address - Phone:305-455-7454
Practice Address - Fax:305-455-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-01
Last Update Date:2015-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty