NPI | 1740302983 |
---|---|
Former Legal Business Name | HEALTHEXCEL MEDICAL GROUP AT PEMBROKE PINES |
Entity Type | Organization |
Authorized Contact | RICHARD COLLADO President 305-207-1632 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS3370) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2011-03-21 |