NPI | 1497012819 |
---|---|
Doing Business As | SOUTHEAST MEDICAL CENTRE |
Entity Type | Organization |
Authorized Contact | RICARDO ZAMBRANO President 954-684-3266 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |