| Innovation Medical Center Inc | |
|
1140 W 50th St 302 Hialeah FL 33012-3440 | |
| (786) 305-4466 | |
| Not Available |
| Full Name | Innovation Medical Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1140 W 50th St, Hialeah, Florida |
| Authorized Official Name and Position | Elcida Lopez (PRESIDENT) |
| Authorized Official Contact | 7863054466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Medical Center Inc 1140 W 50th St 302 Hialeah FL 33012-3440 Ph: (786) 305-4466 | Innovation Medical Center Inc 1140 W 50th St 302 Hialeah FL 33012-3440 Ph: (786) 305-4466 |
| NPI Number | 1245673763 |
|---|---|
| Provider Enumeration Date | 04/15/2013 |
| Last Update Date | 04/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245673763 | NPI | - | NPPES |
| MA32226 | Other | FL | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA32226 (Florida) | Primary |
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