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Organization

UNIVERSAL ADVANCE GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELADIO RIVES (PRESIDENT)
(786) 447-0941
Entity
Organization

Contact information

Practice address
12973 SW 112 ST, SUITE 336, MIAMI, FL 33186
(786) 447-0941
(305) 428-9564
Mailing address
12973 SW 112 ST, SUITE 336, MIAMI, FL 33186
(786) 447-0941
(305) 428-9564

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/26/2009
Last updated
01/26/2009
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