| Sos Outpatient , Llc | |
|
6447 Miami Lakes Dr Ste 205 Miami Lakes FL 33014-2765 | |
| (727) 550-6510 | |
| Not Available |
| Full Name | Sos Outpatient , Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6447 Miami Lakes Dr Ste 205, Miami Lakes, Florida |
| Authorized Official Name and Position | Diosmedis Navas Lopez (PRESIDENT) |
| Authorized Official Contact | 7275506510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sos Outpatient , Llc 6447 Miami Lakes Dr Ste 205 Miami Lakes FL 33014-2765 Ph: (727) 550-6510 | Sos Outpatient , Llc 6447 Miami Lakes Dr Ste 205 Miami Lakes FL 33014-2765 Ph: (727) 550-6510 |
| NPI Number | 1053963538 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053963538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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