PONCE MEDICLUB LLC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee PONCE MEDICLUB LLC NPI is 1902468523. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9950 SW 107TH AVE STE 203
MIAMI, FL
ZIP 33176-767
Phone: (305) 908-3144
Fax: (407) 605-5129
The provider's authorized official is Maria Lopez .
The authorized official title is Director Of Operations Med Ctr and has the following contact phone number (305) 992-4521.
The enumeration date for this NPI number is 7/3/2019 and was last updated on 5/12/2022.