NPI | 1518736461 |
---|---|
Doing Business As | DR. LAMA MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | RYAN WASSON Credentialing Manager 321-380-1411 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-12-20 |
Last Update Date | 2023-12-20 |