Manassas Medical Center, INC

NPI #1134387715 in Doral, Florida

Provider Information

NPI Number: 1134387715
Entity Type: Organization
Organization Name: Manassas Medical Center, INC
Primary Specialty: General Practice
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 3900 NW 79TH AVE
Address 2: SUITE 326
City: Doral
State: Florida
ZIP Code: 33166-6556
Phone: (305) 717-6889

Authorized Official

Name: PEDRO ANTONIO COLLS
Title: PRESIDENT
Phone: (305) 717-6889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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