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Organization

PROFESSIONAL HEALTH MANAGEMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS GINNA VIVIANA PORTILLA (PRESIDENT)
(786) 547-2382
Entity
Organization

Contact information

Practice address
8260 W FLAGLER ST STE 2M, MIAMI, FL 33144-2069
(305) 559-4599
(305) 553-0670
Mailing address
8260 W FLAGLER ST STE 2M, MIAMI, FL 33144-2069
(305) 559-4599
(305) 553-0670

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
562061-3
FL

Other

Enumeration date
12/11/2008
Last updated
12/11/2008
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