Organization
CORAL HEATH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS SMITH (PRESIDENT)
14192216723
Entity
Organization
Contact information
Practice address
15344 NW 79TH CT, MIAMI LAKES, FL 33016-5850
(305) 821-0502
Mailing address
15344 NW 79TH CT, MIAMI LAKES, FL 33016-5850
(305) 821-0502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT23963
FL
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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