Organization
LITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT L RAY MD (MEDICAL DIRECTOR)
(305) 595-4681
Entity
Organization
Contact information
Practice address
8603 S DIXIE HWY, SUITE 411, MIAMI, FL 33143-7807
(305) 595-4681
(305) 273-9584
Mailing address
8603 S DIXIE HWY, SUITE 411, MIAMI, FL 33143-7807
(305) 595-4681
(305) 273-9584
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME26578
FL
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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