Organization
PARADISE WELLNESS MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS A QUERAL MD (MEDICAL DOCTOR)
(786) 631-3763
Entity
Organization
Contact information
Practice address
4355 W 16TH AVE STE 201, HIALEAH, FL 33012-7667
(786) 631-3763
(786) 631-3836
Mailing address
4355 W 16TH AVE STE 201, HIALEAH, FL 33012-7667
(786) 631-3763
(786) 631-3836
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME118298
FL
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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