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Organization

SKYLIGHT MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL S GRILLO M.D. (PRESIDENT)
(305) 463-9368
Entity
Organization

Contact information

Practice address
8181 NW 36TH ST, SUITE 11, DORAL, FL 33166-6671
(305) 463-9368
Mailing address
8181 NW 36TH ST, SUITE 11, DORAL, FL 33166-6671
(305) 463-9368

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME66588
FL

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
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