| NPI | 1295290310 |
|---|---|
| Doing Business As | MANGO CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTON FETKULOV Practice Manager 786-391-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2019-02-02 |