Organization
INNOVATIVE RESEARCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET BONET GONGORA APRN (OWNER)
(305) 219-3240
Entity
Organization
Contact information
Practice address
9570 SW 107TH AVE STE 201, MIAMI, FL 33176-2791
(305) 219-3240
Mailing address
9570 SW 107TH AVE STE 201, MIAMI, FL 33176-2791
(305) 219-3240
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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