Organization
HOLY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE COELLO (PRESIDENT)
(786) 616-8037
Entity
Organization
Contact information
Practice address
2740 SW 97TH AVE, SUITE A-111, MIAMI, FL 33165-2681
(786) 616-8037
Mailing address
2740 SW 97TH AVE, SUITE A-111, MIAMI, FL 33165-2681
(786) 616-8037
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME91436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME91436
MD
FL
Enumeration date
03/02/2015
Last updated
03/02/2015
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