Organization
MAKE WAY 4 HEALTH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL GALLANOSA DO (MEDICAL DIRECTOR)
(929) 274-3536
Entity
Organization
Contact information
Practice address
9773 NW 31ST ST, DORAL, FL 33172-1014
(929) 274-3536
Mailing address
9773 NW 31ST ST, DORAL, FL 33172-1014
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/05/2024
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