NPI | 1205614708 |
---|---|
Former Legal Business Name | MEDIZON MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | ILIANA HERNANDEZ President 786-224-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-09-18 |
Last Update Date | 2023-12-20 |