| Azuri LLC | |
|
300 W 41st St Ste 100 Miami Beach FL 33140-3627 | |
| (305) 770-6065 | |
| Not Available |
| Full Name | Azuri LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 300 W 41st St Ste 100, Miami Beach, Florida |
| Authorized Official Name and Position | Jose Hincapie (CONTROLLER) |
| Authorized Official Contact | 3057706065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azuri LLC 300 W 41st St Ste 100 Miami Beach FL 33140-3627 Ph: (305) 770-6065 | Azuri LLC 300 W 41st St Ste 100 Miami Beach FL 33140-3627 Ph: (305) 770-6065 |
| NPI Number | 1881361640 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881361640 | NPI | - | NPPES |
| 7241962 | Other | FL | LOCAL BUSINESS TAX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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