Organization
MOONSHINE RESEARCH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA PIMENTEL (PRESIDENT)
(305) 463-9368
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, SUITE 11, DORAL, FL 33166-6671
(305) 463-9368
(305) 463-9369
Mailing address
8181 NW 36TH ST, SUITE 11, DORAL, FL 33166-6671
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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