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Organization
YNAV MEDICAL CENTER INC
Active
Organization
YNAV MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE M QUINTANA BASULTO (PRESIDENT)
(786) 781-5012
Entity
Organization
Contact information
Practice address
7480 FAIRWAY DR STE 106, MIAMI LAKES, FL 33014-6879
(786) 781-5012
(786) 781-5023
Mailing address
7480 FAIRWAY DR STE 106, MIAMI LAKES, FL 33014-6879
(786) 781-5012
(786) 781-5023
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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