ID PROFESSIONALS OF SOUTH FLORIDA LLC

HIALEAH, FL
NPI1174560619
Entity TypeOrganization
Authorized ContactMARIO R. LOPEZ
President
954-495-5102
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: FL  me75291)
Enumeration Date2006-06-01
Last Update Date2009-01-22
Business Address
ID PROFESSIONALS OF SOUTH FLORIDA LLC
1790 W 49TH ST SUITE 400-9
HIALEAH, FL 33012-2992
Phone number: 305-698-5997
Mailing Address
ID PROFESSIONALS OF SOUTH FLORIDA LLC
PO BOX 371082
MIAMI, FL 33137-1082
Phone number: 305-698-5997