| NPI | 1538820667 |
|---|---|
| Former Legal Business Name | LOGIQUE MEDICAL CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | JIMMY LAFAILLE LAFAILLE Dr/Provider 561-374-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |