Organization
CURITIVA MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANELYS M BOMBIBO (PRESIDENT)
(305) 586-3125
Entity
Organization
Contact information
Practice address
9722 SW 184TH ST, CUTLER BAY, FL 33157-6987
(786) 429-3312
(305) 275-7066
Mailing address
10651 SW 88TH ST STE 102, MIAMI, FL 33176-1573
(305) 586-3125
(305) 275-7066
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100141400
—
FL
Enumeration date
02/20/2023
Last updated
02/20/2023
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