Ultra Medical Center, Corp

NPI 1629028865 - Family Medicine - 207Q00000X

NPI Details
NPI 1629028865
Enumeration Date 05/10/2006
Last Updated 10/26/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSE N JOSE
Position OWNER
Phone (305) 644-7407
Fax (305) 644-7408
Practice Location
711 NW 23RD AVE
SUITE 304
MIAMI FL, 33125-3298, US
Phone (305) 644-7407
Fax (305) 644-7408
Business Location
711 NW 23RD AVE
SUITE 304
MIAMI FL, 33125-3298, US
Phone (305) 644-7407
Fax (305) 644-7408
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number 136410067
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According to our database, Ultra Medical Center, Corp NPI is 1629028865, taxonomy code is 207Q00000X and license number is 136410067, license state is located at Florida. Ultra Medical Center, Corp physically located at 711 Nw 23rd Ave, Miami FL, 33125-3298. NPI Number 1033115704 has the healthcare provider type.

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1629028865 NPI number is provided on an as is basis without warranty of any kind. 1629028865 is maintained by the National Plan & Provider Enumeration System. The contents of Ultra Medical Center, Corp are for informational purposes only.