| NPI | 1396358479 |
|---|---|
| Former Legal Business Name | MEDDY GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | JESSED O ACEVEDO CORREA President 939-299-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |