MANANTIAL DE VIDA NUEVA INC
Ambulatory Health at 137 Ave, Miami, FL

License number
Florida HCC8847
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MARIULIS RODRIGUEZ
Title: PRESIDENT
Phone: (305) 233-8055
Address
Address
13255 SW 137Th Ave STE. 100, Miami, FL 33186
National Provider ID: 1174816763
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Manantial De Vida Nueva, Inc

13255 SW 137 Ave, Miami, FL 33186

Industry:
Religious Organization
Registration:
Jun 22, 2004
State ID:
P04000094123
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Director:
Mariulis Rodriguez (President, Treasurer, Secretary, Director)

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