Organization
MOUNTAIN MEDICAL CENTER CORP
Active
Organization
MOUNTAIN MEDICAL CENTER CORP
Active
Other names
MOUNTAIN MEDICAL CENTER CORP
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO LORA (OWNER)
(786) 603-2252
Entity
Organization
Contact information
Practice address
1150 NW 72ND AVE STE F520, MIAMI, FL 33126-1936
(786) 600-3252
Mailing address
1150 NW 72ND AVE STE F520, MIAMI, FL 33126-1936
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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