Provider Demographics
NPI:1881026847
Name:FLAGLER MEDICAL CONSULTING INC
Entity Type:Organization
Organization Name:FLAGLER MEDICAL CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-207-1335
Mailing Address - Street 1:8260 W FLAGLER ST
Mailing Address - Street 2:STE 2H
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:305-207-1335
Mailing Address - Fax:
Practice Address - Street 1:8260 W FLAGLER ST
Practice Address - Street 2:STE 2H
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2069
Practice Address - Country:US
Practice Address - Phone:305-207-1335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service