Organization
3383 NW 7 ST SUITE #312
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A AGUILAR MA (OWNER)
(786) 360-2865
Entity
Organization
Contact information
Practice address
3383 NW 7TH ST STE 312, MIAMI, FL 33125-4140
(786) 360-2865
(786) 360-1964
Mailing address
3383 NW 7TH ST STE 312, MIAMI, FL 33125-4140
(786) 360-2865
(786) 360-1964
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
HCC7262
FL
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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