Organization
DEVELOPMENT DIAGNOSTIC CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIETH GUANCHE (PRESIDENT)
(305) 461-3788
Entity
Organization
Contact information
Practice address
5200 SW 8TH ST, CORAL GABLES, FL 33134-2300
(305) 461-3788
Mailing address
5200 SW 8TH ST, CORAL GABLES, FL 33134-2300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC3751
FL
Other
Enumeration date
05/23/2006
Last updated
03/26/2008
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