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1912435264
SOUTHEAST PHYSICIAN ASSOCIATES 1, LLC.
MIAMI, FL
NPI
1912435264
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Entity Type
Organization
Authorized Contact
RENE F GOMEZ
CEO
305-596-4288
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2017-05-31
Last Update Date
2022-07-21
Business Address
SOUTHEAST PHYSICIAN ASSOCIATES 1, LLC.
10621 N KENDALL DR STE 211
MIAMI, FL 33176-1530
Phone number: 305-596-4288
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Mailing Address
SOUTHEAST PHYSICIAN ASSOCIATES 1, LLC.
10621 N KENDALL DR STE 211
MIAMI, FL 33176-1530
Phone number: 305-596-4288
Copy
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