Provider Demographics
NPI:1568700599
Name:NGF MEDICAL CENTER INC
Entity Type:Organization
Organization Name:NGF MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-443-0991
Mailing Address - Street 1:836 PONCE DE LEON BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3067
Mailing Address - Country:US
Mailing Address - Phone:305-443-0991
Mailing Address - Fax:305-443-0994
Practice Address - Street 1:836 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3067
Practice Address - Country:US
Practice Address - Phone:305-443-0991
Practice Address - Fax:305-443-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41522207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty