| NPI | 1942860093 |
|---|---|
| Doing Business As | FLORIDA MEDICAL AND DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | BOGOMOLOVA YULIA Medical Director 954-302-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |