Organization
DORAL BREAST CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO J HENRIQUEZ MD (PRESIDENT)
(786) 900-5550
Entity
Organization
Contact information
Practice address
8353 NW 36TH ST, DORAL, FL 33166-6615
(786) 900-5550
(888) 737-9799
Mailing address
8353 NW 36TH ST, DORAL, FL 33166-6615
(786) 900-5550
(888) 737-9799
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
03/11/2015
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