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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