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Physicians Medical Genetics Clinical Genetics (M.D.)

Provider NPI: 1316361215

Organization Information:
Organization is Subpart
Authorized Official:  TIMOTHY  BIRKENSTOCK  SVP & CFO  305-669-6422

Practice Location:
15025 NW 77TH AVE  MIAMI LAKES, FL 33014-6852 US
Tel: 786-313-7800  Fax: --

Business Mailing Address:
Tel: 305-662-8334  Fax: 786-624-2688

NPI Information:
NPI: 1316361215
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Medical Genetics
Clinical Genetics (M.D.)
Neurological Surgery
Orthopaedic Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207X00000X





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