Organization
MYLAUREL MEDICAL GROUP FL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BALDRIDGE (CREDENTIALING)
(702) 417-6255
Entity
Organization
Contact information
Practice address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(504) 475-1283
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(504) 475-1283
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
02/12/2024
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