Healthcare Provider Details

I. General information

NPI: 1770776445
Provider Name (Legal Business Name): EMINENCE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7392 NW 35TH TER SUITE # 310
MIAMI FL
33122-1271
US

IV. Provider business mailing address

7392 NW 35TH TER SUITE # 310
MIAMI FL
33122-1271
US

V. Phone/Fax

Practice location:
  • Phone: 305-994-9467
  • Fax: 305-994-9468
Mailing address:
  • Phone: 305-994-9467
  • Fax: 305-994-9468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH 8885
License Number StateFL

VIII. Authorized Official

Name: FRANCISCO FRANCO MUNOZ
Title or Position: LMT
Credential:
Phone: 305-994-9467