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Organization
PONCE MEDICAL
Active
Organization
PONCE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA PONCE D.O (MANAGER)
(954) 401-2826
Entity
Organization
Contact information
Practice address
8100 NW 53RD ST, 260, DORAL, FL 33166-4796
(954) 401-2826
Mailing address
8100 NW 53RD ST, 260, DORAL, FL 33166-4796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 12675
FL
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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