Organization
SOUTHWEST TEAM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MARTINEZ MSBA (CEO/PRES)
(786) 970-0573
Entity
Organization
Contact information
Practice address
10300 SW 72ND AVE, SUITE 470B, MIAMI, FL 33156-3107
(786) 970-0573
Mailing address
10300 SW 72ND AVE, SUITE 470B, MIAMI, FL 33156-3107
(786) 970-0573
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0050518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SWTEAM970
OBAMACARE INSURANCES
FL
Enumeration date
03/05/2014
Last updated
03/05/2014
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