# HEALTHSOURCE OF DORAL INC

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

## Provider details

- **NPI number:** 1114323003
- **Authorized official:** DR. BRUNO CONTRO D.C. (PRESIDENT/CHIROPRACTOR)
- **Authorized official phone:** (610) 937-4862

## Contact information

- **Practice address:** 8200 NW 33RD ST, SUITE 407, DORAL, FL 33122-1942
- **Practice address phone:** (610) 937-4862
- **Mailing address:** 660 E 17TH ST, HIALEAH, FL 33010-3241
- **Mailing address phone:** (610) 937-4862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH11304 | FL | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 11/05/2014