| Professional Health Alliance Llc | |
|
351 Nw 42nd Ave Ste 503 Miami FL 33126-5683 | |
| (786) 346-5644 | |
| Not Available |
| Full Name | Professional Health Alliance Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 351 Nw 42nd Ave, Miami, Florida |
| Authorized Official Name and Position | Juan Garces (OWNER/PRESIDENT) |
| Authorized Official Contact | 7863465644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Health Alliance Llc 351 Nw 42nd Ave Ste 503 Miami FL 33126 Ph: (786) 346-5644 | Professional Health Alliance Llc 351 Nw 42nd Ave Ste 503 Miami FL 33126-5683 Ph: (786) 346-5644 |
| NPI Number | 1174075873 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174075873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME45734 (Florida) | Primary |
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