DORAL CLINIC INC NPI 1891118105

NPI Information

NPI: 1891118105
Provider Name: DORAL CLINIC INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
9300 NW 25TH ST
SUITE 106
DORAL, FL
ZIP 33172
Phone: (305) 694-9802
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DORAL CLINIC INC is a health service clinic center in Doral, FL. DORAL CLINIC INC NPI is 1891118105. The provider is registered as an organization entity type.

The provider's business location address is:

9300 NW 25TH ST
SUITE 106
DORAL, FL
ZIP 33172-508
Phone: (305) 694-9802
Fax: (305) 639-8271

The provider's authorized official is Wilfredo Bravo .
The authorized official title is President and has the following contact phone number (305) 694-9802.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 1/23/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	ME110036	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME110036	OTHER	FLORIDA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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