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1245587302
AXIS LE PROFESSIONAL MEDICAL GROUP
MIAMI, FL
NPI
1245587302
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Entity Type
Organization
Authorized Contact
ERENDIRA DELGADO
President
305-877-8184
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
AXIS LE PROFESSIONAL MEDICAL GROUP
2604 NW 21ST TER
MIAMI, FL 33142-7113
Phone number: 305-877-8184
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Mailing Address
AXIS LE PROFESSIONAL MEDICAL GROUP
2604 NW 21ST TER
MIAMI, FL 33142-7113
Phone number:
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