NPI | 1194319848 |
---|---|
Former Legal Business Name | KEROD MEDICAL SERVICES INC |
Entity Type | Organization |
Authorized Contact | GUSTAVO RODRIGUEZ Owner 305-491-6124 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2021-02-23 |
Last Update Date | 2021-03-08 |