| NPI | 1417635426 |
|---|---|
| Doing Business As | MEMORIAL PRIMARY CARE MHW PLANTATION PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ESTHER SURUJON CFO 954-265-6677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |