Organization
SARGAT CH LLC
Active
Other names
Amaxilab
Organization subpart
No
Provider details
NPI number
Authorized official
ILIA KULDOSHIN (OWNER)
(786) 790-9357
Entity
Organization
Contact information
Practice address
7710 NW 71ST CT STE 110, TAMARAC, FL 33321-2930
(786) 944-6842
Mailing address
7710 NW 71ST CT STE 110, TAMARAC, FL 33321-2930
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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