Organization
MEDIMPACT CLINICAL AND INVESTIGATIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO MARTIN (CEO)
(786) 608-1473
Entity
Organization
Contact information
Practice address
31 TAMIAMI CANAL RD, MIAMI, FL 33144-2538
(786) 608-1473
(305) 264-2909
Mailing address
31 TAMIAMI CANAL RD, MIAMI, FL 33144-2538
(786) 608-1473
(305) 264-2909
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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