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Organization
JAPH MEDICAL GROUP INC
Active
Organization
JAPH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO PRIETO-HERNANDEZ M.D (PRESIDENT)
(954) 202-6322
Entity
Organization
Contact information
Practice address
7600 W 20TH AVE STE 112, HIALEAH, FL 33016-1895
(305) 557-0000
(305) 557-0000
Mailing address
7600 W 20TH AVE STE 112, HIALEAH, FL 33016-1895
(305) 557-0000
(305) 557-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0054503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0054503
MEDICAL DOCTOR
FL
Enumeration date
09/15/2006
Last updated
08/03/2020
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