Healthcare Provider Details
I. General information
NPI: 1417398421
Provider Name (Legal Business Name): UNLIMITED MEDICAL RESEARCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2013
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 GRAND CANAL DR SUITE 107
MIAMI FL
33144-2561
US
IV. Provider business mailing address
85 GRAND CANAL DR SUITE 107
MIAMI FL
33144-2561
US
V. Phone/Fax
- Phone: 305-261-0057
- Fax:
- Phone: 305-261-0057
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1100X |
| Taxonomy | Research Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OLGA
TORRES
Title or Position: PRESIDENT
Credential:
Phone: 305-261-0057