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Organization
AMBULATORY DIAGNOSTIC CENTER INC
Active
Organization
AMBULATORY DIAGNOSTIC CENTER INC
Active
Other names
Ponce De Leon Diagnostic Services Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH BRACERAS (PRESIDENT)
(305) 863-8860
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD, FIRST AND SECOND FLOOR, CORAL GABLES, FL 33134-2049
(305) 446-7893
(305) 442-1183
Mailing address
780 NW 42ND AVE STE 301, MIAMI, FL 33126-5536
(305) 446-7893
(305) 442-1183
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058543200
—
FL
Enumeration date
09/25/2006
Last updated
03/02/2026
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