| NPI | 1265689459 |
|---|---|
| Doing Business As | MGO |
| Entity Type | Organization |
| Authorized Contact | EMERY MANUEL SALOM Owner 305-828-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME77021) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |