Provider Demographics
NPI:1518250737
Name:B D C MEDICAL CENTER
Entity Type:Organization
Organization Name:B D C MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OTTO
Authorized Official - Middle Name:
Authorized Official - Last Name:URDANETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-741-9808
Mailing Address - Street 1:8357 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2072
Mailing Address - Country:US
Mailing Address - Phone:305-236-1115
Mailing Address - Fax:305-847-0328
Practice Address - Street 1:8357 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2072
Practice Address - Country:US
Practice Address - Phone:305-236-1115
Practice Address - Fax:305-847-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty