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Organization
ACQUALINA MEDICAL GROUP AND THERAPEUTIC SERVICES INC
Active
Organization
ACQUALINA MEDICAL GROUP AND THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLAVIO CORREA (PRESIDENT)
(305) 269-8812
Entity
Organization
Contact information
Practice address
8150 SW 8TH ST, SUITE 113, MIAMI, FL 33144-4263
(305) 269-8812
(305) 269-8814
Mailing address
8150 SW 8TH ST, SUITE 113, MIAMI, FL 33144-4263
(305) 269-8812
(305) 269-8814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
09/12/2008
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