PROFESSIONAL MEDICAL PRACTICE

NPI # 

Practice Address:

11246 Sw 137Th Ave Ste 202A

Miami, FL, 33186-4201

Practice Phone:

786-631-5999

Practice Fax:

786-362-5244

License Number:

HCC10584

License State:

FL

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

General Practice

Taxonomy Code:

208D00000X