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Organization
LATINO MEDICASL CENTER 111 INC
Active
Organization
LATINO MEDICASL CENTER 111 INC
Active
Other names
Latino medicasl center 111 inc
Organization subpart
No
Provider details
NPI number
Authorized official
ENID LEON (CODER)
(786) 797-6669
Entity
Organization
Contact information
Practice address
3670 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33311-1148
(954) 716-6101
Mailing address
6422 NW 65TH WAY, PARKLAND, FL 33067-1503
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/16/2018
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