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Mia Diagnostics Of South Florida Corp

Clinic/Center, Health Services in Miami, FL. Organization (NPI-2).

NPI number1821136623
StatusActive
Last updated in NPPESNov 3, 2008

Details

NPI
1821136623
Entity type
Organization (NPI-2)
Legal business name
Mia Diagnostics Of South Florida Corp
Organization subpart
No
Enumeration date
Feb 2, 2007
Last updated
Nov 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes

Practice location

9745 Sw 72nd St
Suite 115
Miami, FL 33173-4652

Phone 305-630-9252 · Fax 305-630-9241

Mailing address

9745 Sw 72nd St
Suite 115
Miami, FL 33173-4652

Phone 305-630-9252 · Fax 305-630-9241

Authorized official

Raul M Pardo
President
7862626143

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