Organization
MARBELLA STATE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MIRABAL (OWNER)
(786) 298-6595
Entity
Organization
Contact information
Practice address
1550 MADRUGA AVE STE 323, CORAL GABLES, FL 33146-3085
(786) 298-6595
Mailing address
1550 MADRUGA AVE STE 323, CORAL GABLES, FL 33146-3085
(786) 298-6595
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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