Organization
MIAMI MEDICAL GROUP & HOLISTIC CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN F. JIMENEZ AP DOM (ADMINISTRATOR)
(305) 445-0048
Entity
Organization
Contact information
Practice address
4505 W FLAGLER ST, SUITE 101, MIAMI, FL 33134-1500
(305) 445-0048
(305) 569-0071
Mailing address
4505 W FLAGLER ST, SUITE 101, MIAMI, FL 33134-1500
(305) 445-0048
(305) 569-0071
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2894
CERTIFICATE OF EXCEMPTION
FL
Enumeration date
03/06/2007
Last updated
08/22/2020
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