Organization
MY CLINIC INTEGRAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSDEIVYS PEREZ MA62083 (OWNER)
(786) 378-0649
Entity
Organization
Contact information
Practice address
2711 SW 137TH AVE, #93, MIAMI, FL 33175-6359
(305) 646-1932
(305) 967-8106
Mailing address
2711 SW 137TH AVE, #93, MIAMI, FL 33175-6359
(305) 646-1932
(305) 967-8106
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA62083
FL
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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