NPI 1134312770

Legion Park Medical Center

Organisation Preferred Provider Organization Miami, FL

Practice location

Address: 6630 Biscayne Blvd, Miami, FL 33138-6217
Phone: (305) 754-8966

Authorised official

Name: Laura a Elizee
Title: Office Administrator
Phone: (305) 754-8966

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence HCC6998 (FL)

Other Preferred Provider Organization providers in Florida →

Registry record

NPI: 1134312770
Entity type: Organization
NPI issued: 27 Aug 2007
Record last updated: 27 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.