Organization
LOYALTY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO ALBERTO JIMENEZ M.D. (MEDICAL DIRECTOR)
(786) 397-1342
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 591, DORAL, FL 33166-6556
(786) 397-1342
(305) 397-2301
Mailing address
3900 NW 79TH AVE, SUITE 591, DORAL, FL 33166-6556
(786) 397-1342
(305) 397-2301
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME114414
FL
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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