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1396787024
PHY-MED MILLENIUM MEDICAL LC
MIAMI, FL
NPI
1396787024
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Entity Type
Organization
Authorized Contact
GUSTAVO G LEON
Medical Director
305-642-1246
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME 29633)
Enumeration Date
2006-06-10
Last Update Date
2007-07-11
Business Address
PHY-MED MILLENIUM MEDICAL LC
351 NW 42ND AVE SUITE 103
MIAMI, FL 33126-5683
Phone number: 305-642-1246
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Mailing Address
PHY-MED MILLENIUM MEDICAL LC
7100 PINES BLVD SUITE 23
PEMBROKE PINES, FL 33024-7355
Phone number: 954-967-0107
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