Organization
ADVANCED MEDICAL OF DORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURELIS VALERON MASSAGE THERAPIST (PRESIDENT)
(305) 694-9802
Entity
Organization
Contact information
Practice address
9300 NW 25TH ST, 209, DORAL, FL 33172-1508
(305) 694-9802
Mailing address
9300 NW 25TH ST, 209, DORAL, FL 33172-1508
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA 65412
FL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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