| 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 |