Organization
PROLIVE MEDICAL RESEARCH CORP
Active
Other names
ProLive Medical Research Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA DIAZ (SITE DIRECTOR)
(305) 221-8001
Entity
Organization
Contact information
Practice address
12781 SW 42ND ST STE I, MIAMI, FL 33175-3437
(305) 221-8001
Mailing address
12781 SW 42ND ST STE I, MIAMI, FL 33175-3437
(305) 221-8001
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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