| California Club Diagnostics Center, Llc. | |
|
850 Ives Dairy Rd Unit 14 North Miami Beach FL 33179-2450 | |
| (305) 405-0365 | |
| (305) 405-0370 |
| Full Name | California Club Diagnostics Center, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 850 Ives Dairy Rd Unit 14, North Miami Beach, Florida |
| Authorized Official Name and Position | Alexander Baronov (PRESIDENT) |
| Authorized Official Contact | 3054050365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Club Diagnostics Center, Llc. 850 Ives Dairy Rd Unit 14 North Miami Beach FL 33179-2450 Ph: (305) 405-0365 | California Club Diagnostics Center, Llc. 850 Ives Dairy Rd Unit 14 North Miami Beach FL 33179-2450 Ph: (305) 405-0365 |
| NPI Number | 1851400931 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851400931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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