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Organization

PONCE PFT AND MEDICAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARLOS EFRAIN PONCE CRT (PRESIDENT)
(786) 236-8899
Entity
Organization

Contact information

Practice address
21110 BISCAYNE BLVD., SUITE 303, AVENTURA, FL 33180
(786) 236-8899
Mailing address
335 S BISCAYNE BLVD APT 2210, MIAMI, FL 33131-2331
(786) 236-8899

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT919
FL
291U00000X
Clinical Medical Laboratory
TN23815
FL

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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