| NPI | 1306598669 |
|---|---|
| Other Name | EASTERN MEDICAL MSO |
| Entity Type | Organization |
| Authorized Contact | JAVIER MENENDEZ COO 305-298-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-19 |