institution
Ponce Mediclub Llc
General Practice Physician in Miami, Florida
NPI 1902468523

Ponce Mediclub Llc is a General Practice Physician based in Miami, FL. Ponce Mediclub Llc practices in Miami, FL. The NPI Number for Ponce Mediclub Llc is 1902468523 and holds a License No. (Florida).

The current practice location address for Ponce Mediclub Llc is 9950 Sw 107Th Ave Ste 203, Miami, FL and can be reached out via phone at 305-908-3144 and via fax at 407-605-5129.

Location: 9950 Sw 107Th Ave Ste 203, Miami, FL, 33165-3311
institution
Provider Profile Details
NPI Number
1902468523
Provider Name
Ponce Mediclub Llc
Credential
Provider Entity Type
Organization
Address
9950 Sw 107Th Ave Ste 203, Miami, FL, 33165-3311
Phone Number
305-908-3144
Fax Number
407-605-5129
Provider Enumeration Date
07/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9950 Sw 107Th Ave Ste 203
City
State
Zip
33176-2767
Phone Number
305-908-3144
Fax Number
407-605-5129
person
Provider Business Mailing Address Details
Address
9950 Sw 107Th Ave Ste 203
City
State
Zip
33176-2767
Phone Number
305-908-3144
Fax Number
407-605-5129
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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