Brilliant Medical Center INC
Clinic/Center in Hialeah, FL. Organization (NPI-2).
NPI number1487909552
StatusActive
Last updated in NPPESJul 16, 2012
Details
- NPI
- 1487909552
- Entity type
- Organization (NPI-2)
- Legal business name
- Brilliant Medical Center INC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2012
- Last updated
- Jul 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1840 W 49th St Ste 700Hialeah, FL 33012-2973
Phone 305-262-6904
Mailing address
1840 W 49th St Ste 700Hialeah, FL 33012-2973
Authorized official
Alexis Riveron
President
3052626904
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