Organization
PHALEG MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA BODES (MANAGER)
(305) 994-1606
Entity
Organization
Contact information
Practice address
3900 NW 79 AVE, #520, DORAL, FL 33166
(305) 994-1606
Mailing address
3900 NW 79 AVENUE, #520, DORAL, FL 33166
(305) 994-1606
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ME 82265
FL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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