Organization
MAR CORAL GROUP CORP
Active
Organization
MAR CORAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MIRABAL (OWNER)
(863) 451-1472
Entity
Organization
Contact information
Practice address
4711 NW 79TH AVE STE 12L, DORAL, FL 33166-5443
(863) 451-1472
Mailing address
4711 NW 79TH AVE STE 12L, DORAL, FL 33166-5443
(863) 451-1472
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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