Organization
JC MEDICAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS REALES M.D. (PRESIDENT)
(305) 456-9267
Entity
Organization
Contact information
Practice address
3300 W 84TH ST, BAY # 16, HIALEAH, FL 33018-4903
(305) 456-9267
(305) 456-9394
Mailing address
3300 W 84TH ST, BAY # 16, HIALEAH, FL 33018-4903
(305) 456-9267
(305) 456-9394
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
10/09/2006
Last updated
04/13/2016
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