| |
4505 W Flagler St, Suite 201, Coral Gables, FL 33134-1500 | |
(305) 461-1042 | |
(305) 461-1043 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 4505 W Flagler St, Coral Gables, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619229267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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4505 W Flagler St, Suite 201, Coral Gables, FL 33134-1500 Ph: (305) 461-1042 | 4505 W Flagler St, Suite 201, Coral Gables, FL 33134-1500 Ph: (305) 461-1042 |