Latino Medicasl Center 111 Inc | |
3670 W Oakland Park Blvd Lauderdale Lakes FL 33311-1148 | |
(954) 716-6101 | |
Not Available |
Full Name | Latino Medicasl Center 111 Inc |
---|---|
Speciality | Family Medicine - Obesity Medicine |
Location | 3670 W Oakland Park Blvd, Lauderdale Lakes, Florida |
Authorized Official Name and Position | Enid Leon (CODER) |
Authorized Official Contact | 7867976669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Latino Medicasl Center 111 Inc 6422 Nw 65th Way Parkland FL 33067-1503 Ph: () - | Latino Medicasl Center 111 Inc 3670 W Oakland Park Blvd Lauderdale Lakes FL 33311-1148 Ph: (954) 716-6101 |
NPI Number | 1467944421 |
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Provider Enumeration Date | 06/05/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467944421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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