Basic Information
| Provider Information | |||||||||
| NPI: | 1265867667 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LARKIN COMMUNITY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2475 NW 16TH STREET RD APT 618 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331251396 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4072212313 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7031 SW 62ND AVE | ||||||||
| Address2: | |||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331434701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2013 | ||||||||
| LastUpdateDate: | 09/05/2013 | ||||||||
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| AuthorizedOfficialLastName: | MAZON | ||||||||
| AuthorizedOfficialFirstName: | ANGELA | ||||||||
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| AuthorizedOfficialTitleorPosition: | GME COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 3052847669 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MISS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | UO 3806 | FL | N | Hospitals | General Acute Care Hospital | Children | 282N00000X | UO3806 | FL | Y | Hospitals | General Acute Care Hospital |
No ID Information.