Organization
MIRACLE URGENT CARE GROUP, INC.
Active
Other names
Ela Doc Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL LOPEZ (PRESIDENT)
(646) 462-9251
Entity
Organization
Contact information
Practice address
2470 SW 137TH AVE, MIAMI, FL 33175-6330
(305) 553-3377
Mailing address
2470 SW 137TH AVE, MIAMI, FL 33175-6330
(305) 553-3377
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
09/08/2016
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