Organization
DORAL SPINE & WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO DE LA FUENTE (VICE PRESIDENT)
(305) 477-7976
Entity
Organization
Contact information
Practice address
8726 NW 26TH ST STE 16, DORAL, FL 33172-1628
(305) 477-7976
(305) 629-9187
Mailing address
8726 NW 26TH ST STE 16, DORAL, FL 33172-1628
(305) 477-7976
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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