Organization
CLINICA 'LOS ANGELES'
Active
Parent organization
ANGEL'S MEDICAL COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGEL'S MEDICAL COMPANY
Authorized official
JUANA DIAZ (PRESIDENT)
(239) 234-6948
Entity
Organization
Contact information
Practice address
5038 CORONADO PKWY, NAPLES, FL 34116-6950
(239) 234-6948
(239) 331-2362
Mailing address
5038 CORONADO PKWY, NAPLES, FL 34116-6950
(239) 234-6948
(239) 331-2362
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC-3923
FL
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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