Country Walk Family Medicine

LBN: Rene N Mayorga M D P A
Country Walk Family Medicine is an health care organization with primary practice located at 14261 Sw 120Th St Suite 110, Miami FL 33186-7270. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rene N Mayorga M D P A can be contacted via phone (305) 378-1302, or through Mayorga, Rene N via phone (305) 378-1302.

Contact Information

Primary practice address
14261 Sw 120Th St Suite 110 Miami FL 33186-7270
Phone: (305) 378-1302
Fax: (305) 378-1311
Website:
Map and Directions
Authorized official contact:
Name: Mayorga, Rene N Doctor of Medicine (MD)
Phone: (305) 378-1302

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME54068 Florida

Profile Details

NPI number 1659334670
LBN Legal business name Rene N Mayorga M D P A
DBA Doing business as Country Walk Family Medicine
Authorized official Mayorga, Rene N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Nov 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659334670 NPPES
Florida Other 14292 VISTA
Florida Other 003349 VISTA
Florida Other 2132789 VISTA
Florida Other F00138402601 VISTA
Florida MEDICAID 061439400 VISTA
Florida Other 08688 VISTA
Florida Other 0170072 VISTA
Florida Other 101635 VISTA

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