# TALAN MEDICAL SERVICES CORP

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

## Provider details

- **NPI number:** 1942585062
- **Authorized official:** JORGE F LOPEZ MASSAGE THERAPIST (PRESIDENT)
- **Authorized official phone:** (305) 221-9161

## Contact information

- **Practice address:** 175 FONTAINEBLEAU BLVD, MIAMI, FL 33172-7018
- **Practice address phone:** (305) 221-9161
- **Practice address fax:** (305) 221-9751
- **Mailing address:** 175 FONTAINEBLEAU BLVD, MIAMI, FL 33172-7018
- **Mailing address phone:** (305) 221-9161
- **Mailing address fax:** (305) 221-9751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | MM26296 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2011
- **Last updated:** 10/20/2011
