Organization
DIAGNOSTIC CENTER FOR WOMEN, LLC
Active
Parent organization
VITALMD GROUP HOLDING
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITALMD GROUP HOLDING
Authorized official
PATRICIA C VARONA (DIRECTOR)
(305) 740-5100
Entity
Organization
Contact information
Practice address
7500 SW 87TH AVE, SUITE 100, MIAMI, FL 33173-5426
(305) 740-5100
(305) 740-5101
Mailing address
7500 SW 87TH AVE, SUITE 100, MIAMI, FL 33173-5426
(305) 740-5100
(305) 740-5101
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2360
BC/BS
FL
Enumeration date
08/24/2006
Last updated
09/23/2014
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