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Organization
LOREDO MEDICAL GROUP LLC
Active
Organization
LOREDO MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO W LOREDO APRN (MBR)
(786) 521-0534
Entity
Organization
Contact information
Practice address
2930 NW 156TH ST, OPA LOCKA, FL 33054-2226
(786) 521-0534
Mailing address
2930 NW 156TH ST, OPA LOCKA, FL 33054-2226
(786) 521-0534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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