| NPI | 1548937907 |
|---|---|
| Doing Business As | MEMORIAL PRIMARY CARE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ESTHER SURUJON CFO Mpg, Mpc And Ucc 954-265-6677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-08-30 |