| Active Health Medical Center, Corp | |
|
3970 W Flagler St Suite 102 Coral Gables FL 33134-1642 | |
| (305) 569-6647 | |
| (305) 774-2965 |
| Full Name | Active Health Medical Center, Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 3970 W Flagler St, Coral Gables, Florida |
| Authorized Official Name and Position | Ivette Martinez (PRESIDENT) |
| Authorized Official Contact | 7862866256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health Medical Center, Corp 3970 W Flagler St Suite 102 Coral Gables FL 33134-1642 Ph: (305) 569-6647 | Active Health Medical Center, Corp 3970 W Flagler St Suite 102 Coral Gables FL 33134-1642 Ph: (305) 569-6647 |
| NPI Number | 1730371162 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730371162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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