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Organization
YANI MEDICAL CENTER INC
Active
Organization
YANI MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANA COLLAZO (PRESIDENT)
(305) 519-4011
Entity
Organization
Contact information
Practice address
2141 SW 1ST ST, SUITE 104, MIAMI, FL 33135-1694
(305) 519-4011
Mailing address
2141 SW 1ST ST, SUITE 104, MIAMI, FL 33135-1694
(305) 519-4011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS 4095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6882
HCCL LICENSE
FL
Enumeration date
05/05/2006
Last updated
08/22/2020
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