Organization
DYNAMIC MEDICAL GROUP OF CORAL WAY
Active
Organization
DYNAMIC MEDICAL GROUP OF CORAL WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN E BEJERANO (PRESIDENT)
(786) 479-6165
Entity
Organization
Contact information
Practice address
7221 CORAL WAY STE 206, MIAMI, FL 33155-1436
(786) 355-3771
Mailing address
7221 CORAL WAY STE 206, MIAMI, FL 33155-1436
(786) 355-3771
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OS13450
FL
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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