Organization
INTERNATIONAL TRAVEL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNJANA MAVUNDA MD (MEDICAL DIRECTOR)
(305) 668-0075
Entity
Organization
Contact information
Practice address
6280 SW 72ND ST, SUITE 607, SOUTH MIAMI, FL 33143-4827
(305) 668-0075
(305) 668-6299
Mailing address
6400 SW 122ND ST, MIAMI, FL 33156-5549
(305) 668-0075
(305) 668-6299
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0047855
FL
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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