Provider Profile
DORAL SPINE & WELLNESS INC
Health Care Clinic
FACILITY PROFILE
Street Address
- 8726 NW 26 ST SUITE 16
MIAMI, FL 33172
County: Miami-Dade - Phone: (305) 477-7976
Mailing Address
- 8726 NW 26 ST SUITE 16
MIAMI, FL 33172
County: Miami-Dade - Phone: (305) 854-1775
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
Facility/Provider Type: | Health Care Clinic | |||||||||
Medical or Clinic Director: | OMAR J COLON | |||||||||
Administrator: | ALEJANDRO DE LA FUENTE | |||||||||
Owner/Licensee: | DORAL SPINE & WELLNESS INC | |||||||||
Owner/Licensee Since: | 11/26/2019 | |||||||||
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Profit Status: | For-Profit | |||||||||
Licensed Beds: | Not Available | |||||||||
AHCA Number (File Number): | 12714 | |||||||||
AHCA Field Office: | 11 | |||||||||
License Number: | 435584 | |||||||||
Current License Effective: | 2/24/2024 | |||||||||
Current License Expires: | 2/23/2026 | |||||||||
License Status: | LICENSED |
Services/Characteristics
Specialty: | PIP Recipient |
Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.