Organization
NINETTE&DAIMIS CORP
Active
Other names
Ninette&Daimis corp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAIMIS VAZQUEZ ROSABAL MD (OWNER)
(786) 343-3552
Entity
Organization
Contact information
Practice address
3157 N UNIVERSITY DR STE 103, HOLLYWOOD, FL 33024-2258
(954) 332-8985
(954) 332-8981
Mailing address
3157 N UNIVERSITY DR STE 103, HOLLYWOOD, FL 33024-2258
(954) 332-8985
(954) 332-8981
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ACN676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN676
MD LICENSE
FL
Enumeration date
06/27/2017
Last updated
07/21/2022
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