| NPI | 1083042493 |
|---|---|
| Former Legal Business Name | 8TH STREET MEDICAL PLAZA INC |
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS MATUS Pa/Owner 305-266-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2023-07-14 |