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Organization
MAGELLAN CLINICAL SERVICES LLC
Active
Organization
MAGELLAN CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE CARBONELL (MANAGER)
(786) 709-6977
Entity
Organization
Contact information
Practice address
255 SW 8TH ST, STE 204, MIAMI, FL 33130-3529
(305) 642-7245
Mailing address
7737 W 15TH CT, HIALEAH, FL 33014-3310
(786) 709-6977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC6604
FL
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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