Healthcare Provider Details

I. General information

NPI: 1376939009
Provider Name (Legal Business Name): MEDICAL RESEARCH CENTER OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 04/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 NW 25TH ST STE 210
MIAMI FL
33122-1714
US

IV. Provider business mailing address

1950 SW 27TH AVE
MIAMI FL
33145-2500
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License NumberME48981
License Number StateFL

VIII. Authorized Official

Name: ENRIQUE BARRIOS
Title or Position: CEO
Credential:
Phone: 305-982-8968