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Organization
ORIVE PHYSICIAN SERVICES PA
Active
Organization
ORIVE PHYSICIAN SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YORDAN ORIVE GOMEZ MD (AUTHORIZED OFFICAL)
(786) 608-2991
Entity
Organization
Contact information
Practice address
6816 SW 89TH CT, MIAMI, FL 33173-2430
(786) 608-2991
(786) 894-0808
Mailing address
6800 SW 40TH ST # 457, MIAMI, FL 33155-3708
(786) 608-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME143347
—
FL
Enumeration date
09/21/2020
Last updated
02/16/2024
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