Organization
DORAL SPINE & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO DE LA FUENTE (VICE PRESIDENT)
(305) 477-7976
Entity
Organization
Contact information
Practice address
8726 NW 26TH ST STE 16, DORAL, FL 33172-1628
(305) 477-7976
(305) 629-9187
Mailing address
8726 NW 26TH ST STE 16, DORAL, FL 33172-1628
(305) 477-7976
(305) 629-9187
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108352100
—
FL
Enumeration date
12/17/2019
Last updated
01/05/2021
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