Organization
DIMCOR OF SOUTH FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS SEVILLA (PRESIDENT OWNER)
(305) 904-6065
Entity
Organization
Contact information
Practice address
259 E 49TH ST, HIALEAH, FL 33013-1854
(305) 825-0893
(305) 682-1678
Mailing address
21050 NW 38 AVE, SUITE 1405, AVENTURA, FL 33180-4077
(305) 904-6065
(305) 682-1678
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
12/04/2012
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