| NPI | 1598815672 |
|---|---|
| Doing Business As | PROMINADE PLAZA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | OLIVIA MARGO GRAVES Director 305-255-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME27434) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |