PONCE MEDICLUB LLC

MIAMI, FL
NPI1902468523
Entity TypeOrganization
Authorized ContactMARIA LOPEZ
Director Of Operations Med Ctr
305-992-4521
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2019-07-03
Last Update Date2022-05-12
Business Address
PONCE MEDICLUB LLC
9950 SW 107TH AVE STE 203
MIAMI, FL 33176-2767
Phone number: 305-908-3144
Mailing Address
PONCE MEDICLUB LLC
11455 SW 40TH ST # 146
MIAMI, FL 33165-3311
Phone number: 305-908-3144
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