Organization
MJ MEDICAL CENTER INC
Active
Organization
MJ MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA RUANO MA, LMT (PRESIDENT)
(305) 400-8197
Entity
Organization
Contact information
Practice address
3383 NW 7TH ST, #312, MIAMI, FL 33125-4140
(305) 400-8197
(305) 400-8232
Mailing address
3383 NW 7TH ST, #312, MIAMI, FL 33125-4140
(305) 400-8197
(305) 400-8232
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8987
AHCA HCC UNIT
FL
Enumeration date
08/22/2011
Last updated
08/22/2011
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