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Organization

MED-CLINIC INC.

Active
Parent organization
MED-CLINIC INC
Other names
Manuel Lopez Diaz MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
MED-CLINIC INC
Authorized official
DR. MANUEL LOPEZ DIAZ MD (PRESIDENT)
(305) 477-4475
Entity
Organization

Contact information

Practice address
10800 NW 58 ST, DORAL, FL 33178
(305) 477-4475
(305) 477-4487
Mailing address
10800 NW 58TH ST, DORAL, FL 33178-2854
(305) 477-4475
(305) 477-4487

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
8690
FL

Other

Enumeration date
05/16/2013
Last updated
05/16/2013
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