Organization
CORAL MEDICAL CENTER CORP.
Active
Organization
CORAL MEDICAL CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVANY DIAZ (PRESIDENT)
(786) 360-2306
Entity
Organization
Contact information
Practice address
10758 SW 24TH ST, MIAMI, FL 33165-2493
(786) 360-2360
Mailing address
10758 SW 24TH ST, MIAMI, FL 33165-2493
(786) 360-2360
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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