Organization
SOUTHERN ADVANCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IHOSVANY MATOS (PRESIDENT)
(305) 879-2369
Entity
Organization
Contact information
Practice address
13876 SW 56TH ST, SUITE 272, MIAMI, FL 33175-6021
(305) 879-2369
(305) 675-8334
Mailing address
13876 SW 56TH ST, SUITE 272, MIAMI, FL 33175-6021
(305) 879-2369
(305) 675-8334
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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