Organization
LAURETH PROFESSIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANA GERHKE BELTRAN (PRESIDENT)
(786) 222-1384
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 587, DORAL, FL 33166-6556
(786) 222-1384
(786) 222-1385
Mailing address
3900 NW 79TH AVE, SUITE 587, DORAL, FL 33166-6556
(786) 222-1384
(786) 222-1385
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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