Organization
CMP FOREVER YOUNG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS MIRANDA (PRESIDENT)
(305) 644-5820
Entity
Organization
Contact information
Practice address
434 SW 12TH AVE, SUITE 202, MIAMI, FL 33130-2440
(305) 644-5820
(305) 644-5821
Mailing address
434 SW 12TH AVE, SUITE 202, MIAMI, FL 33130-2440
(305) 644-5820
(305) 644-5821
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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