Medical Coral Way Center Corp

NPI #1396780185 in West Palm Beach, Florida

Provider Information

NPI Number
1396780185
Entity Type
Organization
Organization Name
Medical Coral Way Center Corp
Primary Specialty
General Practice
Enumeration Date
Jun 17, 2006
Last Updated
Oct 1, 2009

Practice Location

Address
1401 S MILITARY TRL
Address 2
SUITE C-1
State
Florida
ZIP Code
33415-5720
Phone
(561) 429-3122

Authorized Official

Name
MRS. MARIELA CRUZ
Title
PRESIDENT
Phone
(561) 429-3122

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine
Internal Medicine
General Practice

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