Organization
MGM MEDICAL GROUP MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO ARMANDO ESPINO JR. (CEO/PRESIDENT)
(786) 395-1165
Entity
Organization
Contact information
Practice address
8318 SW 193RD ST, CUTLER BAY, FL 33157-8085
(786) 395-1165
Mailing address
8318 SW 193RD ST, CUTLER BAY, FL 33157-8085
(786) 395-1165
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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