Prohealth Doral Medical INC

NPI #1023568318 in Doral, Florida

Provider Information

NPI Number: 1023568318
Entity Type: Organization
Organization Name: Prohealth Doral Medical INC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 8247 NW 36TH ST
City: Doral
State: Florida
ZIP Code: 33166-6613
Phone: (786) 422-4309

Authorized Official

Name: MR. OTTO URDANETA
Title: PRESIDENT
Phone: (786) 422-4309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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