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Organization

MINT CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DIEGO E ROCA NONE (VP CONTROLLER)
(561) 614-1090
Entity
Organization

Contact information

Practice address
1201 US HIGHWAY 1 STE 305, NORTH PALM BEACH, FL 33408-3548
(917) 331-4321
Mailing address
1201 US HIGHWAY 1 STE 305, NORTH PALM BEACH, FL 33408-3548
(917) 331-4321

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/04/2021
Last updated
05/04/2021
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