Organization
MCJ MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGMAR CHANG (OFFICE MANAGER)
(305) 468-1714
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 728, DORAL, FL 33166-6556
(305) 468-1714
(305) 468-1757
Mailing address
3900 NW 79TH AVE, SUITE 728, DORAL, FL 33166-6556
(305) 468-1714
(305) 468-1757
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC5974
FL
Other
Enumeration date
06/02/2006
Last updated
11/23/2009
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