Provider Demographics
NPI:1346519980
Name:SPRING MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:SPRING MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MINIET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-225-7670
Mailing Address - Street 1:35 SW 114TH AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1005
Mailing Address - Country:US
Mailing Address - Phone:305-225-7670
Mailing Address - Fax:
Practice Address - Street 1:35 SW 114TH AVE STE 206
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1005
Practice Address - Country:US
Practice Address - Phone:305-225-7670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center