Columbus Clinical Svc LLC

NPI #1902856933 in Miami, Florida

Provider Information

NPI Number: 1902856933
Entity Type: Organization
Organization Name: Columbus Clinical Svc LLC
Primary Specialty: General Practice
Enumeration Date: May 11, 2006
Last Updated: Mar 25, 2014

Practice Location

Address: 15 SW 107TH AVE
City: Miami
State: Florida
ZIP Code: 33174-1415
Phone: (305) 559-5759

Authorized Official

Name: MARIA V CANO
Title: MANAGER/OWNER
Phone: (305) 559-5759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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