Organization Name: | INVESCLINIC |
NPI Number: | 1497012819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICARDO ZAMBRANO (PRESIDENT) |
Mailing Address: | 4401 N Andrews Ave Oakland Park |
State: | FL US |
Postal Code: | 333093917 |
Phone Number: | 9542025137 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 04/23/2012 |
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: |