Organization
M C LACAYO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA CECILIA LACAYO MD (PRESIDENT)
(561) 338-8320
Entity
Organization
Contact information
Practice address
6623 NW 23RD TER, BOCA RATON, FL 33496-3634
(561) 338-8320
Mailing address
6623 NW 23RD TER, BOCA RATON, FL 33496-3634
(561) 338-8320
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME47330
FL
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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