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Organization

SUMMIT CLINICAL DIAGNOSTIC GROUP LLC

Active
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Organization

SUMMIT CLINICAL DIAGNOSTIC GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOAO CARLOS MARTINS (PRESIDENT)
(305) 274-4501
Entity
Organization

Contact information

Practice address
11140 N. KENDALL DR., SUITE 100, MIAMI, FL 33176
(305) 546-3637
Mailing address
11140 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL 33176
(305) 546-3637
(305) 274-4549

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
FL

Other

Enumeration date
06/29/2012
Last updated
08/15/2012
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