# INTERNATIONAL TRAVEL CLINIC

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

## Provider details

- **NPI number:** 1629303375
- **Authorized official:** DR. KUNJANA MAVUNDA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (305) 668-0075

## Contact information

- **Practice address:** 6280 SW 72ND ST, SUITE 607, SOUTH MIAMI, FL 33143-4827
- **Practice address phone:** (305) 668-0075
- **Practice address fax:** (305) 668-6299
- **Mailing address:** 6400 SW 122ND ST, MIAMI, FL 33156-5549
- **Mailing address phone:** (305) 668-0075
- **Mailing address fax:** (305) 668-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0047855 | FL | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009