| Xtra Health Center Inc | |
|
951 Sw 122nd Ave Miami FL 33184-2406 | |
| (305) 793-4234 | |
| Not Available |
| Full Name | Xtra Health Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 951 Sw 122nd Ave, Miami, Florida |
| Authorized Official Name and Position | Jorge A Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3057934234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xtra Health Center Inc 951 Sw 122nd Ave Miami FL 33184-2406 Ph: (305) 793-4234 | Xtra Health Center Inc 951 Sw 122nd Ave Miami FL 33184-2406 Ph: (305) 793-4234 |
| NPI Number | 1073933610 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073933610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA42484 (Florida) | Primary |
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