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General Practice in Miami, FL. Organization (NPI-2).
NPI number1154653566
StatusActive
Last updated in NPPESFeb 10, 2010
Details
- NPI
- 1154653566
- Entity type
- Organization (NPI-2)
- Legal business name
- A1a Image
- Organization subpart
- No
- Enumeration date
- Feb 10, 2010
- Last updated
- Feb 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1421 Sw 107th Ave # 136Miami, FL 33174-2526
Phone 786-316-3744
Mailing address
1421 Sw 107th Ave # 136Miami, FL 33174-2526
Phone 786-316-3744
Authorized official
Nikorn Arunakul
Medical Director
7863163744
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