Organization Name: | THE PERSONAL INJURY CLINIC INC |
NPI Number: | 1003973751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAUL MARTINEZ (PRESIDENT) |
Mailing Address: | 900 W 49th St Suite 304 Hialeah |
State: | FL US |
Postal Code: | 330123402 |
Phone Number: | 3058233131 |
Fax Number: | 3055584267 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | HCC6839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |