Organization
MDLT PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA EUGENIA DE LA TORRE MD (AMBR)
(786) 380-1538
Entity
Organization
Contact information
Practice address
27327 SW 133RD CT, HOMESTEAD, FL 33032-8582
(786) 380-1538
Mailing address
27327 SW 133RD CT, HOMESTEAD, FL 33032-8582
(786) 380-1538
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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