Extra Medical Clinic INC

NPI #1144235094 in Coral Gables, Florida

Provider Information

NPI Number: 1144235094
Entity Type: Organization
Organization Name: Extra Medical Clinic INC
Primary Specialty: General Practice
Enumeration Date: Jul 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 717 PONCE DE LEON BLVD
Address 2: SUITE 205
City: Coral Gables
State: Florida
ZIP Code: 33134-2060
Phone: (305) 441-5722

Authorized Official

Name: MRS. MAYRA V PEREZ
Title: OWNER, PRESIDENT
Phone: (305) 441-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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