Organization
CLINICA 'LOS ANGELES'
Active
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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