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Organization
SOUTH RESEARCH MEDICAL INC
Active
Organization
SOUTH RESEARCH MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOCIS NUNEZ (PRESIDENT)
(786) 488-0244
Entity
Organization
Contact information
Practice address
17250 SW 137TH AVE, STE B, MIAMI, FL 33177-6405
(786) 488-0244
Mailing address
17250 SW 137TH AVE, STE B, MIAMI, FL 33177-6405
(786) 488-0244
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME51845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
AHCA
FL
Enumeration date
12/02/2008
Last updated
12/02/2008
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