Doral Breast Center, LLC

NPI #1568860369 in Doral, Florida

Provider Information

NPI Number: 1568860369
Entity Type: Organization
Organization Name: Doral Breast Center, LLC
Primary Specialty: General Practice
Enumeration Date: Dec 9, 2014
Last Updated: Mar 11, 2015

Practice Location

Address: 8353 NW 36TH ST
City: Doral
State: Florida
ZIP Code: 33166-6615
Phone: (786) 900-5550

Authorized Official

Name: LEONARDO J HENRIQUEZ, MD
Title: PRESIDENT
Phone: (786) 900-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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