Organization
PROHEALTH DIAGNOSTIC SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIENNE PEREZ (OWNER)
(305) 833-8278
Entity
Organization
Contact information
Practice address
601 SW 57TH AVE STE B, MIAMI, FL 33144-3974
(305) 833-8278
(305) 402-4620
Mailing address
601 SW 57TH AVE STE B, MIAMI, FL 33144-3974
(305) 833-8278
(305) 402-4620
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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