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South Office Corp

Internal Medicine in Doral, FL. Organization (NPI-2).

NPI number1407255136
StatusActive
Last updated in NPPESAug 19, 2014

Details

NPI
1407255136
Entity type
Organization (NPI-2)
Legal business name
South Office Corp
Organization subpart
No
Enumeration date
Aug 19, 2014
Last updated
Aug 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

3900 Nw 79th Ave
Suite 650
Doral, FL 33166-6556

Phone 786-429-0325 · Fax 786-364-1293

Mailing address

3900 Nw 79th Ave
Suite 650
Doral, FL 33166-6556

Phone 786-429-0325 · Fax 786-364-1293

Authorized official

Osorio Aidy
Owner
7864290325

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