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Organization
MEDICAL PROFESSIONAL SERVICES
Active
Organization
MEDICAL PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRISMEL MARQUEZ (PRESIDENT)
(305) 228-1274
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE, SUITE 41, MIAMI, FL 33165-2470
(305) 228-1274
(305) 228-1298
Mailing address
2500 SW 107TH AVE, SUITE 41, MIAMI, FL 33165-2470
(305) 228-1274
(305) 228-1298
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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