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Organization
EIDRYS GROUP SERVICE CORP
Active
Organization
EIDRYS GROUP SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EIDRYS REYES (PRESIDENT)
(305) 490-7602
Entity
Organization
Contact information
Practice address
8770 SUNSET DR, #452, MIAMI, FL 33173-3512
(305) 490-7602
Mailing address
8770 SUNSET DR, #452, MIAMI, FL 33173-3512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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