NPI | 1467663096 |
---|---|
Former Legal Business Name | COURTESY MEDICAL GROUP, INC. |
Entity Type | Organization |
Authorized Contact | TERESA CAYRO President 305-899-0683 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL HCC5843) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-08-22 |