| Organization Name: | EMINENCE MEDICAL & CLINICAL RESEARCH INC |
| NPI Number: | 1336504307 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONIEL PEREZ (OWNER) |
| Mailing Address: | 1419 W Waters Ave Suite 115 Tampa |
| State: | FL US |
| Postal Code: | 336042895 |
| Phone Number: | 8138102119 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2015 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |