Organization
COVITEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA KNOWLES (ADMINISTRATOR)
(305) 364-1218
Entity
Organization
Contact information
Practice address
3450 W 84TH ST STE 103A, MIAMI LAKES, FL 33018-4924
(305) 364-1218
Mailing address
3450 W 84TH ST STE 103A, MIAMI LAKES, FL 33018-4924
(305) 364-1218
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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