Provider Demographics
NPI:1609319482
Name:UNION MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:UNION MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:AGUILAR MORILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-725-2000
Mailing Address - Street 1:330 SW 27TH AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2967
Mailing Address - Country:US
Mailing Address - Phone:786-725-2000
Mailing Address - Fax:786-725-2001
Practice Address - Street 1:330 SW 27TH AVE STE 402
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2967
Practice Address - Country:US
Practice Address - Phone:786-725-2000
Practice Address - Fax:786-725-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty