Organization
MARINA LAKES MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA DRIGGS (PRESIDENT)
(786) 277-5669
Entity
Organization
Contact information
Practice address
4960 SW 72ND AVE, SUITE 304, MIAMI, FL 33155-5544
(305) 740-9889
Mailing address
4960 SW 72ND AVE, SUITE 304, MIAMI, FL 33155-5544
(305) 740-9889
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC7752
FL
Other
Enumeration date
07/24/2007
Last updated
06/16/2008
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