Organization
MELI BA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILOLI FERNANDEZ (PRESIDENT)
(305) 333-8182
Entity
Organization
Contact information
Practice address
11117 W OKEECHOBEE RD STE 104, HIALEAH GARDENS, FL 33018-4200
(305) 333-8182
Mailing address
11117 W OKEECHOBEE RD STE 104, HIALEAH GARDENS, FL 33018-4200
(305) 333-8182
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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