Organization
ATLANTIC MEDICAL CENTER DORAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA M DIAZ (PRESIDENT OWNER)
(786) 804-9521
Entity
Organization
Contact information
Practice address
10900 NW 25TH ST STE 104, DORAL, FL 33172-1922
(786) 804-9521
(305) 716-9254
Mailing address
10900 NW 25TH ST STE 104, DORAL, FL 33172-1922
(786) 804-9521
(305) 716-9254
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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