# MAKE WAY 4 HEALTH MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1407662448
- **Authorized official:** ARIEL GALLANOSA DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (929) 274-3536

## Contact information

- **Practice address:** 9773 NW 31ST ST, DORAL, FL 33172-1014
- **Practice address phone:** (929) 274-3536
- **Mailing address:** 9773 NW 31ST ST, DORAL, FL 33172-1014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/05/2024