Organization
JUSTIN MEDICAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN F LOPEZ MA (OWNER)
(305) 640-9601
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE STE 559, DORAL, FL 33166-6562
(305) 640-9601
(305) 640-9616
Mailing address
3900 NW 79TH AVE STE 559, DORAL, FL 33166-6562
(305) 640-9601
(305) 640-9616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MM24928
FL
Other
Enumeration date
06/07/2010
Last updated
06/11/2010
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