| NPI | 1285641209 |
|---|---|
| Doing Business As | MEMORIAL DIVISION OF PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARIO SALCEDA-CRUZ Administrator 954-265-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2017-02-16 |