# FLAGLER MEDICAL & DIAGNOSTIC CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881965507
- **Authorized official:** JOSE VALIENTE MD (OWNER)
- **Authorized official phone:** (305) 461-0799

## Contact information

- **Practice address:** 4697 W FLAGLER ST, CORAL GABLES, FL 33134-1512
- **Practice address phone:** (305) 461-0799
- **Practice address fax:** (305) 461-0775
- **Mailing address:** 4697 W FLAGLER ST, CORAL GABLES, FL 33134-1512
- **Mailing address phone:** (305) 461-0799
- **Mailing address fax:** (305) 461-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME 23012 | FM | Yes |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 01/26/2012
