| NPI | 1184193138 | 
|---|---|
| Doing Business As | PDL VIRTUAL URGENT CAGE | 
| Entity Type | Organization | 
| Authorized Contact | YORDY JULIAN PONCE DE LEON President 305-266-3705 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 208D00000X General Practice | 
| 261QU0200X Clinic/Center, Urgent Care | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2018-11-20 | 
| Last Update Date | 2018-11-20 |