Organization
PRIDE GROUP CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIPE CRUZ (PRESIDENT)
(786) 274-0386
Entity
Organization
Contact information
Practice address
692 W 29TH ST, 12, HIALEAH, FL 33012-5620
(786) 274-0386
Mailing address
692 W 29TH ST, 12, HIALEAH, FL 33012-5620
(786) 274-0386
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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