Organization · NPI-2

Arq. Electro Diagnostic, INC.

General Practice · Doral, FL

NPI number1073553319
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1073553319
Entity type
Organization (NPI-2)
Legal business name
Arq. Electro Diagnostic, INC.
Organization subpart
No
Enumeration date
Jun 7, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeHCCR745FLYes

Practice location

8180 Nw 36th St
Suite 239
Doral, FL 33166-6645

Phone 305-594-3038 · Fax 305-594-8575

Mailing address

8180 Nw 36th St
Suite 239
Doral, FL 33166-6645

Phone 305-594-3038 · Fax 305-594-8575

Authorized official

Aracelis C Quevedo
President/Owner
3055943038

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