Organization
JAPH MEDICAL GROUP INC
Active
Parent organization
JAPH MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAPH MEDICAL GROUP INC
Authorized official
DR. JOSE ANTONIO PRIETO MD (CHIEF OF JAPH MEDICAL GROUP INC)
(954) 202-6322
Entity
Organization
Contact information
Practice address
7600 W 20TH AVE, SUITE 112, HIALEAH, FL 33016-1821
(305) 557-0000
(305) 557-0002
Mailing address
7600 W 20TH AVE, SUITE 112, HIALEAH, FL 33016-1821
(305) 557-0000
(305) 557-0002
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 54503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272088400
—
FL
Enumeration date
06/23/2016
Last updated
06/23/2016
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