Organization
MANASSAS MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO ANTONIO COLLS (PRESIDENT)
(305) 717-6889
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 326, DORAL, FL 33166-6556
(305) 717-6889
Mailing address
3900 NW 79TH AVE, SUITE 326, DORAL, FL 33166-6556
(305) 717-6889
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC6267
FL
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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