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Organization

PURA VIDA MEDICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NURY CARBAJAL (OWNER)
(305) 874-3909
Entity
Organization

Contact information

Practice address
1738 W 49TH ST STE 7-12, HIALEAH, FL 33012-3456
(305) 698-8432
(305) 698-8975
Mailing address
7925 NW 12TH ST STE 201, DORAL, FL 33126-1821
(305) 874-3909

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
08/03/2017
Last updated
06/24/2020
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