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Organization
OPAC HEALTH CARE CORP
Active
Organization
OPAC HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN DIAZ-DELGADO (PRESIDENT)
(786) 260-5101
Entity
Organization
Contact information
Practice address
15160 SW 136TH ST, SUITE 14, MIAMI, FL 33196-2662
(786) 260-5101
(786) 221-4087
Mailing address
15160 SW 136TH ST, SUITE 14, MIAMI, FL 33196-2662
(786) 260-5101
(786) 221-4087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME45769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1300029815
COMM INS
FL
Enumeration date
04/24/2013
Last updated
04/24/2013
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