Organization
SUPREME MEDICAL CENTER
Active
Organization
SUPREME MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOALKIS MARTINEZ (PRESIDENT)
(305) 979-4969
Entity
Organization
Contact information
Practice address
9370 SW 72ND ST STE A103, MIAMI, FL 33173-5470
(305) 979-4969
Mailing address
9370 SW 72ND ST STE A103, MIAMI, FL 33173-5470
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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