SRC PROFESIONAL CORP

MIAMI, FL
NPI1447815972
Entity TypeOrganization
Authorized ContactSERGIO RODRIGUEZ-CHAPLE
A RN P
786-237-9124
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2019-05-09
Last Update Date2019-05-09
Business Address
SRC PROFESIONAL CORP
13925 SW 179TH ST
MIAMI, FL 33177-7743
Phone number: 786-237-9124
Mailing Address
SRC PROFESIONAL CORP
13925 SW 179TH ST
MIAMI, FL 33177-7743
Phone number: 786-237-9124
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