Organization
INTERNATIONAL MEDICAL PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN P FALCON M.D (OWNER)
(305) 468-9455
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE # 520, DORAL, FL 33166-6556
(305) 468-9455
(305) 468-9457
Mailing address
3900 NW 79TH AVE, SUITE # 520, DORAL, FL 33166-6556
(305) 468-9455
(305) 468-9457
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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