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Organization
ORIGINAL HEALTHCARE CORP
Active
Organization
ORIGINAL HEALTHCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAIDY GUTIERREZ (PRESIDENT)
(786) 485-3881
Entity
Organization
Contact information
Practice address
11981 SW 144TH CT STE 101, MIAMI, FL 33186-8652
(786) 485-3881
(305) 675-0219
Mailing address
11981 SW 144TH CT STE 101, MIAMI, FL 33186-8652
(786) 485-3881
(305) 675-0219
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC11288
FL
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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