Organization
HEALTH DEPOT INC
Active
Other names
HDI-Health Promotion
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAL A. DURUIBE MD, PH.D (DIRECTOR, CEO)
(305) 756-4490
Entity
Organization
Contact information
Practice address
7919 NE 2ND AVE, MIAMI, FL 33138
(305) 756-4490
(305) 756-4493
Mailing address
P. O. BOX 399124, MIAMI, FL 33239-9124
(305) 756-4490
(305) 756-4493
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
P98000009728
FL
Other
Enumeration date
05/03/2007
Last updated
11/09/2007
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