# IMAGE OF SOUTH MIAMI INC.

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

## Provider details

- **NPI number:** 1386976736
- **Authorized official:** MR. JORGE ARISTONDO (MANAGER)
- **Authorized official phone:** (786) 487-5579

## Contact information

- **Practice address:** 8567 CORAL WAY \# 396, MIAMI, FL 33155-2335
- **Practice address phone:** (786) 487-5579
- **Mailing address:** 8567 CORAL WAY \# 396, MIAMI, FL 33155-2335
- **Mailing address phone:** (786) 487-5579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 02/10/2010