Organization
GARDEN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN LOPEZ (PRESIDENT)
(305) 502-3980
Entity
Organization
Contact information
Practice address
2800 W 84TH ST UNIT 11, HIALEAH, FL 33018-4922
(786) 409-4044
Mailing address
2800 W 84TH ST UNIT 11, HIALEAH, FL 33018-4922
(786) 409-4044
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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