White Diamond Medical Center Corp

NPI 1528445806 - Clinic/Center - 261QH0100X

NPI Details
NPI 1528445806
Enumeration Date 05/06/2015
Last Updated 05/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JOSE M JOSE
Position OWNER
Phone (786) 208-7224
Fax (786) 364-0192
Practice Location
3900 NW 79TH AVE
569
DORAL FL, 33166-6556, US
Phone (786) 208-7224
Fax (786) 364-0192
Business Location
3900 NW 79TH AVE
569
DORAL FL, 33166-6556, US
Phone (786) 208-7224
Fax (786) 364-0192
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
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According to our database, White Diamond Medical Center Corp NPI is 1528445806, taxonomy code is 261QH0100X White Diamond Medical Center Corp physically located at 3900 Nw 79th Ave, Doral FL, 33166-6556. NPI Number 1033115704 has the healthcare provider type.

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1528445806 NPI number is provided on an as is basis without warranty of any kind. 1528445806 is maintained by the National Plan & Provider Enumeration System. The contents of White Diamond Medical Center Corp are for informational purposes only.