institution
Marisela C Jaquez-gutierrez Llc
Clinic/Center in Doral, Florida
NPI 1770910911

Marisela C Jaquez-gutierrez Llc is a Clinic/Center based in Doral, FL. Marisela C Jaquez-gutierrez Llc practices in Doral, FL. The NPI Number for Marisela C Jaquez-gutierrez Llc is 1770910911 and holds a License No. ME 70979 (Florida).

The current practice location address for Marisela C Jaquez-gutierrez Llc is 8181 Nw 36Th St, Doral, FL and can be reached out via phone at 305-392-6784 and via fax at 305-392-6784.

Location: 8181 Nw 36Th St, Doral, FL, 33166-6671
institution
Provider Profile Details
NPI Number
1770910911
Provider Name
Marisela C Jaquez-gutierrez Llc
Credential
Provider Entity Type
Organization
Address
8181 Nw 36Th St, Doral, FL, 33166-6671
Phone Number
305-392-6784
Fax Number
305-392-6784
Provider Enumeration Date
10/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006685400 05 FL
institution
Provider Business Practice Location Address Details
Address
8181 Nw 36Th St
City
State
Zip
33166-6671
Phone Number
305-392-6784
Fax Number
305-392-6784
person
Provider Business Mailing Address Details
Address
8181 Nw 36Th St
City
State
Zip
33166-6671
Phone Number
305-392-6784
Fax Number
305-392-6784
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
ME 70979 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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