Organization
INTERNATIONAL MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLBEIN MASCORIETO (PRESIDENT)
(305) 592-6230
Entity
Organization
Contact information
Practice address
4815 NW 79TH AVE, SUITE 1, DORAL, FL 33166-5437
(305) 592-6230
Mailing address
4815 NW 79TH AVE, SUITE 1, DORAL, FL 33166-5437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME82267
FL
Other
Enumeration date
01/17/2006
Last updated
08/22/2020
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