Provider Demographics
NPI:1053663344
Name:FLORIDA HEALTH MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:FLORIDA HEALTH MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:R
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-597-6303
Mailing Address - Street 1:8181 NW 36TH ST STE 18
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6661
Mailing Address - Country:US
Mailing Address - Phone:305-597-6306
Mailing Address - Fax:
Practice Address - Street 1:8181 NW 36TH ST STE 18
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6661
Practice Address - Country:US
Practice Address - Phone:305-597-6306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service