Organization
INCA-NICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ELENA MARTINEZ (PRESIDENT)
(305) 854-4343
Entity
Organization
Contact information
Practice address
2747 SW 27TH AVE, MIAMI, FL 33133-3049
(305) 854-4343
(305) 285-0387
Mailing address
2747 SW 27 AVENUE, MIAMI, FL 33133
(305) 643-5340
(305) 285-0387
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH0013232
FL
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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