Xtra Health Center Inc

NPI 1073933610 - Clinic/Center - 261Q00000X

NPI Details
NPI 1073933610
Enumeration Date 04/22/2014
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JORGE A JORGE
Position PRESIDENT
Phone (305) 793-4234
Fax
Practice Location
951 SW 122ND AVE
MIAMI FL, 33184-2406, US
Phone (305) 793-4234
Fax
Business Location
951 SW 122ND AVE
MIAMI FL, 33184-2406, US
Phone (305) 793-4234
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number MA42484
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According to our database, Xtra Health Center Inc NPI is 1073933610, taxonomy code is 261Q00000X and license number is MA42484, license state is located at Florida. Xtra Health Center Inc physically located at 951 Sw 122nd Ave, Miami FL, 33184-2406. NPI Number 1033115704 has the healthcare provider type.

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1073933610 NPI number is provided on an as is basis without warranty of any kind. 1073933610 is maintained by the National Plan & Provider Enumeration System. The contents of Xtra Health Center Inc are for informational purposes only.