Organization
LA EDAD DORADA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE CLAVERO (PRESIDENT)
(786) 553-2717
Entity
Organization
Contact information
Practice address
1071 NW 119TH ST, NORTH MIAMI, FL 33168-6240
(786) 803-8271
(786) 803-8291
Mailing address
1071 NW 119TH ST, NORTH MIAMI, FL 33168-6240
(786) 803-8271
(786) 803-8291
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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