Organization
PRESTIGE MEDICAL CENTER
Active
Organization
PRESTIGE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MARTINEZ (THERAPIST)
(786) 360-3983
Entity
Organization
Contact information
Practice address
932 SW 82ND AVE, MIAMI, FL 33144-4240
(786) 360-3983
Mailing address
932 SW 82ND AVE, MIAMI, FL 33144-4240
(786) 360-3983
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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