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1265866693
MGM MEDICAL GROUP MANAGEMENT LLC
CUTLER BAY, FL
NPI
1265866693
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Entity Type
Organization
Authorized Contact
MARIO ARMANDO ESPINO
CEO/President
786-395-1165
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
MGM MEDICAL GROUP MANAGEMENT LLC
8318 SW 193RD ST
CUTLER BAY, FL 33157-8085
Phone number: 786-395-1165
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Mailing Address
MGM MEDICAL GROUP MANAGEMENT LLC
8318 SW 193RD ST
CUTLER BAY, FL 33157-8085
Phone number: 786-395-1165
Copy