360 MEDICAL PA

FORT LAUDERDALE, FL
NPI1508096330
Entity TypeOrganization
Authorized ContactLAN T PHAN
President
954-790-2251
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: FL  OS7637)
Enumeration Date2009-07-14
Last Update Date2009-08-04
Business Address
360 MEDICAL PA
2004 NE 49TH ST
FORT LAUDERDALE, FL 33308-4524
Phone number: 954-790-2251
Mailing Address
360 MEDICAL PA
2004 NE 49TH ST
FORT LAUDERDALE, FL 33308-4524
Phone number: 954-790-2251