Organization
TALAN MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE F LOPEZ MASSAGE THERAPIST (PRESIDENT)
(305) 221-9161
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, MIAMI, FL 33172-7018
(305) 221-9161
(305) 221-9751
Mailing address
175 FONTAINEBLEAU BLVD, MIAMI, FL 33172-7018
(305) 221-9161
(305) 221-9751
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MM26296
FL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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