NPI | 1467944421 |
---|---|
Former Legal Business Name | LATINO MEDICASL CENTER 111 INC |
Entity Type | Organization |
Authorized Contact | ENID LEON Coder 786-797-6669 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-16 |