| NPI | 1740951144 |
|---|---|
| Doing Business As | MEMORIAL PRIMARY CARE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ESTHER SURUJON CFO Mpg, Mpc & Ucc 954-265-6677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |