Organization
PROFESSIONAL MEDICAL SERVICES & MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY LOPEZ (PRESIDENT)
(786) 499-3499
Entity
Organization
Contact information
Practice address
315 W 9TH ST, 2ND FLOOR, HIALEAH, FL 33010-3853
(786) 360-4528
Mailing address
315 W 9TH ST, 2ND FLOOR, HIALEAH, FL 33010-3853
(786) 360-4528
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
FL
Other
Enumeration date
11/26/2013
Last updated
01/25/2022
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