Organization
PROFESSIONAL HEALTH ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN M GARCES M.D. (OWNER/PRESIDENT)
(305) 251-4131
Entity
Organization
Contact information
Practice address
14150 SW 119TH AVE, SUITE 102, MIAMI, FL 33186-6012
(305) 251-4131
Mailing address
351 NW 42ND AVE, SUITE 503, MIAMI, FL 33126-5683
(786) 346-5644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME45734
FL
Other
Enumeration date
04/03/2017
Last updated
04/05/2017
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