Organization
VISO E. CORPO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADOR REYES AUTHORIZED DELEGATE (CONSULTANT)
(786) 253-7699
Entity
Organization
Contact information
Practice address
2030 S DOUGLAS RD STE 216, CORAL GABLES, FL 33134-4620
(305) 610-0585
Mailing address
2030 S DOUGLAS RD STE 216, CORAL GABLES, FL 33134-4620
(305) 610-0585
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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