Organization
BALB UC MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELY RAZ (CEO)
(804) 767-1288
Entity
Organization
Contact information
Practice address
3901 NW 79TH AVE STE 245, DORAL, FL 33166-6506
(804) 767-1288
(916) 299-9941
Mailing address
3901 NW 79TH AVE STE 245, DORAL, FL 33166-6506
(804) 767-1288
(916) 299-9941
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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