NPI | 1154917706 |
---|---|
Doing Business As | LORDS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JEFFREY ALLEN MIDDLETON President 954-771-3685 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-12-17 |
Last Update Date | 2021-09-13 |