Organization
MEDWISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN J CASADEVALLE (VP OF OPERATIONS)
(786) 360-5955
Entity
Organization
Contact information
Practice address
4451 NW 36TH ST, # 110, MIAMI SPRINGS, FL 33166-7285
(786) 360-5955
(786) 360-5993
Mailing address
4451 NW 36TH ST, # 110, MIAMI SPRINGS, FL 33166-7285
(786) 360-5955
(786) 360-5993
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
03/24/2011
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