Organization
PROLIVE MEDICAL RESEARCH CORP
Active
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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