# JAPH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAPH MEDICAL GROUP INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710338454
- **Legal business name:** JAPH MEDICAL GROUP INC
- **Authorized official:** DR. JOSE ANTONIO PRIETO MD (CHIEF OF JAPH MEDICAL GROUP INC)
- **Authorized official phone:** (954) 202-6322

## Contact information

- **Practice address:** 7600 W 20TH AVE, SUITE 112, HIALEAH, FL 33016-1821
- **Practice address phone:** (305) 557-0000
- **Practice address fax:** (305) 557-0002
- **Mailing address:** 7600 W 20TH AVE, SUITE 112, HIALEAH, FL 33016-1821
- **Mailing address phone:** (305) 557-0000
- **Mailing address fax:** (305) 557-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME 54503 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2016
- **Last updated:** 06/23/2016
