Provider Demographics
NPI:1508635335
Name:DBS MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:DBS MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP MGER
Authorized Official - Prefix:
Authorized Official - First Name:OSMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALARCON SEGURA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-594-5999
Mailing Address - Street 1:2100 NW 107 AVENUE
Mailing Address - Street 2:SUITE 112A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172
Mailing Address - Country:US
Mailing Address - Phone:305-594-5999
Mailing Address - Fax:
Practice Address - Street 1:2100 NW 107 AVENUE
Practice Address - Street 2:SUITE 112A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:305-594-5999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty