Healthcare Provider Details

I. General information

NPI: 1891136511
Provider Name (Legal Business Name): FUTURE CLINICAL RESEARCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7376 NW 35TH TER SUITE 103
MIAMI FL
33122-1241
US

IV. Provider business mailing address

7376 NW 35TH TER SUITE 103
MIAMI FL
33122-1241
US

V. Phone/Fax

Practice location:
  • Phone: 305-477-6750
  • Fax: 305-477-6751
Mailing address:
  • Phone: 305-477-6750
  • Fax: 305-477-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. SINDIA CORDERO
Title or Position: OFFICE MANAGER
Credential:
Phone: 305-805-6903