Doral Clinic Inc

LBN: Doral Clinic Inc
Doral Clinic Inc is an health care organization with primary practice located at 9300 Nw 25Th St Suite 106, Doral FL 33172-1508. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Doral Clinic Inc can be contacted via phone (305) 694-9802, or through Bravo, Wilfredo via phone (305) 694-9802.

Contact Information

Primary practice address
9300 Nw 25Th St Suite 106 Doral FL 33172-1508
Phone: (305) 694-9802
Fax: (305) 639-8271
Website:
Map and Directions
Authorized official contact:
Name: Bravo, Wilfredo Doctor of Medicine (MD)
Phone: (305) 694-9802

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X ME110036 Florida

Profile Details

NPI number 1891118105
LBN Legal business name Doral Clinic Inc
DBA Doing business as
Authorized official Bravo, Wilfredo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2014
Last updated Jan 23rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891118105 NPPES
Florida Other ME110036 MEDICAL LICENSE

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