Organization
DORSAL MEDICAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO OPORTA (MANAGER)
(305) 552-7660
Entity
Organization
Contact information
Practice address
3901 NW 79TH AVE STE 129, DORAL, FL 33166-6554
(305) 552-7660
Mailing address
3901 NW 79TH AVE STE 120, DORAL, FL 33166-6554
(305) 552-7660
(305) 552-7662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME125615
FL
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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