Organization
PARADISE CENTER INC
Active
Organization
PARADISE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LOPEZ (PRESIDENT)
(305) 597-8251
Entity
Organization
Contact information
Practice address
8045 NW 36TH ST, SUITE 510, DORAL, FL 33166-6627
(305) 597-8251
(305) 597-8252
Mailing address
8045 NW 36TH ST, SUITE 510, DORAL, FL 33166-6627
(305) 597-8251
(305) 597-8252
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8772
AHCA EXEMPT
FL
Enumeration date
10/05/2010
Last updated
10/05/2010
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