Organization
PREMIUM QUALITY MEDICAL CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULISES PUENTES (PRESIDENT)
(786) 718-0122
Entity
Organization
Contact information
Practice address
8080 W FLAGLER ST STE, 3A, MIAMI, FL 33144-2100
(305) 266-6531
(305) 266-6533
Mailing address
8080 W FLAGLER ST STE, 3A, MIAMI, FL 33144-2100
(305) 266-6531
(305) 266-6533
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC8671
FL
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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