NPI | 1336539303 |
---|---|
Former Legal Business Name | EZPEDS, PA |
Entity Type | Organization |
Authorized Contact | MARIO DONALD ZAMBRANO Attending Physician/CEO 954-431-8558 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME068860) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2016-10-20 |