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Organization
DORAL MEDICAL GROUP SERVICES, CORP
Active
Organization
DORAL MEDICAL GROUP SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL F MORENO (OWNER)
(786) 817-5439
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, SUITE 2402, DORAL, FL 33166-6671
(786) 817-5439
Mailing address
8181 NW 36TH ST, SUITE 2402, DORAL, FL 33166-6671
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA58826
FL
Other
Enumeration date
11/16/2015
Last updated
04/04/2016
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