Organization
MEDSCRIPTS CORAL WAY DISPENSARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE FELIPE HABER M.D. (MEDICAL DIRECTOR)
(305) 266-2929
Entity
Organization
Contact information
Practice address
11825 SW 26TH ST, MIAMI, FL 33175-2464
(305) 266-2929
Mailing address
11825 SW 26TH ST, MIAMI, FL 33175-2464
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME107835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002655800
—
FL
Enumeration date
05/20/2015
Last updated
05/20/2015
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