# SOUTH PEARL CLINICAL CENTER INC

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

## Provider details

- **NPI number:** 1417682550
- **Authorized official:** ERNESTO MARTINEZ (CEO)
- **Authorized official phone:** (786) 370-4260

## Contact information

- **Practice address:** 9010 SW 137TH AVE STE 111A, MIAMI, FL 33186-1437
- **Practice address phone:** (786) 370-4260
- **Mailing address:** 9010 SW 137TH AVE STE 111A, MIAMI, FL 33186-1437
- **Mailing address phone:** (786) 370-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2022
- **Last updated:** 07/21/2022