| NPI | 1134642465 |
|---|---|
| Former Legal Business Name | EBENEZERMED |
| Entity Type | Organization |
| Authorized Contact | RENE ELADIO DISOTUAR ABAD President 305-330-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |