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Organization
HIGH TOWER SERVICE
Active
Organization
HIGH TOWER SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA AMADOR DIAZ (PRESIDENT)
(786) 339-4555
Entity
Organization
Contact information
Practice address
1421 SW 107TH AVE, SUITE 262, MIAMI, FL 33174-2526
(786) 339-4555
Mailing address
1421 SW 107TH AVE, SUITE 262, MIAMI, FL 33174-2526
(786) 339-4555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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