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 Reports
Inspection 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

NamePositionOwnership
ALEJANDRO DE LA FUENTEBOARD MEMBER/OFFICER50%
OMAR J COLONBOARD MEMBER/OFFICER50%
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.