Organization
MEDICAL & CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON EMMANUEL SHOSHAN (MGRM)
(786) 570-9234
Entity
Organization
Contact information
Practice address
417 NW 2ND AVE STE 1A, HALLANDALE BEACH, FL 33009-3302
(786) 570-9234
Mailing address
250 95TH ST UNIT 545951, SURFSIDE, FL 33154-2820
(786) 570-9234
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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