Healthcare Provider Details

I. General information

NPI: 1376591669
Provider Name (Legal Business Name): A CLASS MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 SW 29 AVE 8
MIAMI FL
33135
US

IV. Provider business mailing address

833 SW 29 AVE 8
MIAMI FL
33135
US

V. Phone/Fax

Practice location:
  • Phone: 305-643-0030
  • Fax: 305-643-0431
Mailing address:
  • Phone: 305-643-0030
  • Fax: 305-643-0431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARITA MARTINEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-643-0030