Innovation Medical Center INC

NPI #1245673763 in Hialeah, Florida

Provider Information

NPI Number
1245673763
Entity Type
Organization
Organization Name
Innovation Medical Center INC
Primary Specialty
Clinic/Center
Enumeration Date
Apr 15, 2013
Last Updated
Apr 15, 2013

Practice Location

Address
1140 W 50TH ST
Address 2
302
State
Florida
ZIP Code
33012-3440
Phone
(786) 305-4466

Authorized Official

Name
ELCIDA LOPEZ, LMT
Title
PRESIDENT
Phone
(786) 305-4466

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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