Organization
EXTENSIVE SERVICES CORP
Active
Organization
EXTENSIVE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUELA BORCHES (PRESIDENT)
(305) 228-1440
Entity
Organization
Contact information
Practice address
2721 SW 137TH AVE STE 107, MIAMI, FL 33175-6355
(305) 228-1440
Mailing address
2721 SW 137TH AVE STE 107, MIAMI, FL 33175-6355
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC8806
FL
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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