Organization
LA EDAD DE ORO MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO DIAZ (PRESIDENT)
(305) 639-2623
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, SUITE 5B, DORAL, FL 33166-6671
(305) 639-2623
Mailing address
8181 NW 36TH ST, SUITE 5B, DORAL, FL 33166-6671
(305) 639-2623
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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