NPI | 1972536571 |
---|---|
Former Legal Business Name | MEDICAL GROUP OF FL |
Entity Type | Organization |
Authorized Contact | JULIAN NODARSE Administrator 305-285-4243 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME28764) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2007-07-25 |