NPI | 1619588324 |
---|---|
Former Legal Business Name | MIAMI LAKES DOCTOR'S LLC |
Entity Type | Organization |
Authorized Contact | YANET TEJEDA GARCIA President 786-797-7140 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-08-14 |
Last Update Date | 2021-07-20 |