| Grand Canal Doctors' Medical Services Inc. | |
|
85 Grand Canal Dr Miami FL 33144-2561 | |
| (305) 269-8800 | |
| Not Available |
| Full Name | Grand Canal Doctors' Medical Services Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 85 Grand Canal Dr, Miami, Florida |
| Authorized Official Name and Position | Osmani Diaz (PRESIDENT) |
| Authorized Official Contact | 3052698800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Canal Doctors' Medical Services Inc. 85 Grand Canal Drive Miami FL 33144 Ph: (305) 269-8800 | Grand Canal Doctors' Medical Services Inc. 85 Grand Canal Dr Miami FL 33144-2561 Ph: (305) 269-8800 |
| NPI Number | 1124368196 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124368196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME108547 (Florida) | Primary |
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