Organization
IVAN RAD CORP
Active
Organization
IVAN RAD CORP
Active
Other names
DORAL MEDICAL OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN GARCIA (PRESIDENT)
(786) 506-6668
Entity
Organization
Contact information
Practice address
7600 W 20TH AVE STE 102, HIALEAH, FL 33016-1895
(305) 456-8784
Mailing address
7600 W 20TH AVE STE 102, HIALEAH, FL 33016-1895
(305) 456-8784
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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