Organization
ECCOLAB GROUP CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE MESA (OWNER/PRESIDET)
(305) 220-3805
Entity
Organization
Contact information
Practice address
8370 W FLAGLER ST, SUITE 216, MIAMI, FL 33144-2094
(305) 220-3805
(305) 220-3813
Mailing address
8370 W FLAGLER ST, SUITE 216, MIAMI, FL 33144-2094
(305) 220-3805
(305) 220-3813
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800016716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030696700
—
FL
Enumeration date
03/05/2007
Last updated
03/05/2008
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