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Organization
SARASOTA MEN CLINIC INC
Active
Organization
SARASOTA MEN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHAN CALVO (PRESIDENT)
(305) 335-1823
Entity
Organization
Contact information
Practice address
625 NE 164 ST, NORTH MIAMI BEACH, FL 33162-3623
(941) 552-8667
(941) 552-8668
Mailing address
2250 GULF GATE DR, STE B, SARASOTA, FL 34231-4838
(941) 552-8667
(941) 552-8668
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
263631786
FL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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