| Prolive Medical Research Corp | |
|
12781 Sw 42nd St Ste I Miami FL 33175-3437 | |
| (305) 221-8001 | |
| Not Available |
| Full Name | Prolive Medical Research Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 12781 Sw 42nd St Ste I, Miami, Florida |
| Authorized Official Name and Position | Laura Diaz (SITE DIRECTOR) |
| Authorized Official Contact | 3052218001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prolive Medical Research Corp 12781 Sw 42nd St Ste I Miami FL 33175-3437 Ph: (305) 221-8001 | Prolive Medical Research Corp 12781 Sw 42nd St Ste I Miami FL 33175-3437 Ph: (305) 221-8001 |
| NPI Number | 1336656495 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 01/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336656495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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