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Organization
A PRESTIGE WELLNESS CENTER, PA
Active
Organization
A PRESTIGE WELLNESS CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS A MARTINEZ MD (OWNER)
(305) 433-2005
Entity
Organization
Contact information
Practice address
3650 NW 82 AVE, SUITE #503, DORAL, FL 33166
(305) 433-2005
(305) 591-8020
Mailing address
3650 NW 82 AVE, SUITE #503, DORAL, FL 33166
(305) 433-2005
(305) 591-8020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME96872
FL
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/04/2008
Last updated
08/16/2010
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