Organization
SUMMIT CLINICAL DIAGNOSTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOAO CARLOS MARTINS (PRESIDENT)
(305) 274-4501
Entity
Organization
Contact information
Practice address
11140 N. KENDALL DR., SUITE 100, MIAMI, FL 33176
(305) 546-3637
Mailing address
11140 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL 33176
(305) 546-3637
(305) 274-4549
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
FL
Other
Enumeration date
06/29/2012
Last updated
08/15/2012
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