PROHEALTH DORAL MEDICAL INC NPI 1023568318

NPI Information

PROHEALTH DORAL MEDICAL INC is a clinic center in Doral, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROHEALTH DORAL MEDICAL INC NPI is 1023568318. The provider is registered as an organization entity type.

The provider's business location address is:

8247 NW 36TH ST
DORAL, FL
ZIP 33166-613
Phone: (786) 422-4309

The provider's authorized official is Otto Urdaneta .
The authorized official title is President and has the following contact phone number (786) 422-4309.

The CLIA number assigned to this NPI record is 10D2156316 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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