NPI | 1700108412 |
---|---|
Former Legal Business Name | ANGELS DIAGNOSTIC GROUP, INC |
Entity Type | Organization |
Authorized Contact | ALEJANDRO SANTOS Owner 305-593-8355 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2024-01-22 |