# INNOVA MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073639852
- **Authorized official:** MS. AURA GRISELLE DE LA TORRE (PRESIDENT)
- **Authorized official phone:** (305) 371-7477

## Contact information

- **Practice address:** 28 W FLAGLER ST, 550, MIAMI, FL 33130-1806
- **Practice address phone:** (305) 371-7477
- **Practice address fax:** (305) 371-1655
- **Mailing address:** 28 W FLAGLER ST, 550, MIAMI, FL 33130-1806
- **Mailing address phone:** (305) 371-7477
- **Mailing address fax:** (305) 371-1655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 602900-3 | FL | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020