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Organization
MIAMI QUALITY SERVICE
Active
Organization
MIAMI QUALITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE DE LA COTERA (PRESIDENT)
(305) 884-8035
Entity
Organization
Contact information
Practice address
4471 NW 36TH ST STE 204, MIAMI SPRINGS, FL 33166-7288
(305) 884-8035
(305) 884-8036
Mailing address
4471 NW 36TH ST STE 204, MIAMI SPRINGS, FL 33166-7288
(305) 884-8035
(305) 884-8036
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC8185
FL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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