Organization
FLORIDA DIAGNOSTICS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A MACHADO (PRESIDENT)
(305) 915-4134
Entity
Organization
Contact information
Practice address
10621 N KENDALL DR STE 101A, MIAMI, FL 33176-1549
(305) 915-4134
(786) 360-4724
Mailing address
106210 N.KENDAL DR SUITE 101A, MIAMI, FL 33176
(305) 915-4134
(786) 360-4724
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MA69369
FL
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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