Organization
CORAL THERAPY & MEDICAL CENTER GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSLAYNE TAPANES (PRESIDENT)
(786) 366-2745
Entity
Organization
Contact information
Practice address
4587 SW 74TH AVE, MIAMI, FL 33155-4409
(786) 366-2745
(305) 328-8350
Mailing address
4587 SW 74TH AVE, MIAMI, FL 33155-4409
(786) 366-2745
(305) 328-8350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA69846
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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