Healthcare Provider Details

I. General information

NPI: 1033539465
Provider Name (Legal Business Name): MEDICAL RESEARCH CENTER OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 NW 25TH ST SUITE 210
MIAMI FL
33122-1713
US

IV. Provider business mailing address

7500 NW 25TH ST SUITE 210
MIAMI FL
33122-1713
US

V. Phone/Fax

Practice location:
  • Phone: 305-982-8968
  • Fax: 786-360-2083
Mailing address:
  • Phone: 305-982-8968
  • Fax: 786-360-2083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN ENRIQUE BARRIOS
Title or Position: OWNER
Credential:
Phone: 305-982-8968