Organization
AJ MEDICINE GROUP, PA
Active
Organization
AJ MEDICINE GROUP, PA
Active
Parent organization
P21000095570
Other names
Miami Medical Evalautions
Organization subpart
Yes
Provider details
NPI number
Legal business name
P21000095570
Authorized official
JULIO NIETO MD (PRESIDENT)
(305) 635-1445
Entity
Organization
Contact information
Practice address
9615 NW 41ST ST, DORAL, FL 33178-2973
(305) 635-1445
Mailing address
6690 SW 97TH AVE, MIAMI, FL 33173-1468
(305) 635-1445
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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