Organization
MIAVIP MEDICAL STAFFING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BARACK MD (OWNER)
(954) 800-7350
Entity
Organization
Contact information
Practice address
7600 SW 87TH AVE, MIAMI, FL 33173-3601
(954) 800-7350
(954) 827-0852
Mailing address
5944 CORAL RIDGE DR # 170, CORAL SPRINGS, FL 33076-3300
(954) 800-7350
(954) 827-0852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/25/2019
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