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Organization
JUVENTUD CORPORATION
Active
Organization
JUVENTUD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS PRADO SR. (PRESIDENT/OWNER)
(786) 390-9295
Entity
Organization
Contact information
Practice address
1701 W FLAGLER ST, SUITE 308, MIAMI, FL 33135-2098
(305) 646-0440
(305) 646-0405
Mailing address
1701 W FLAGLER ST, SUITE 308, MIAMI, FL 33135-2098
(305) 646-0440
(305) 646-0405
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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