SPORT MEDICAL CENTER CORP
Osteopathic Medicine at 36 St, Miami, FL

License number
Florida HCC9156
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: HISELA CASTRO
Title: PRESIDENT
Phone: (305) 526-1599
Address
Address
6501 NW 36Th St STE 302, Miami, FL 33166
National Provider ID: 1235421876
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Sport Medical Center Corp

Miami, FL  -  Hialeah, FL

Status:
Inactive
Registration:
Mar 22, 2011
Addresses:
6501 NW 36 St, Miami, FL 33166
4228 W 16 Ave, Hialeah, FL 33012
State ID:
P11000028306
Business type:
Domestic for Profit Corporation
President:
Hisela M Castro Mugno President, inactive

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