Nostrum Medical Group Mso Llc | |
1235 N Krome Ave R Homestead FL 33030-4204 | |
(305) 242-9952 | |
(305) 242-9998 |
Full Name | Nostrum Medical Group Mso Llc |
---|---|
Speciality | Internal Medicine |
Location | 1235 N Krome Ave, Homestead, Florida |
Authorized Official Name and Position | Lazaro Moreira (MGRM) |
Authorized Official Contact | 3052429952 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nostrum Medical Group Mso Llc 1235 N Krome Ave R Homestead FL 33030-4204 Ph: (305) 242-9952 | Nostrum Medical Group Mso Llc 1235 N Krome Ave R Homestead FL 33030-4204 Ph: (305) 242-9952 |
NPI Number | 1912279225 |
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Provider Enumeration Date | 02/01/2012 |
Last Update Date | 02/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912279225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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