Organization
LATINO MEDICASL CENTER 111 INC
Active
Other names
Latino medicasl center 111 inc
Organization subpart
No
Provider details
NPI number
Authorized official
ENID LEON (CODER)
(786) 797-6669
Entity
Organization
Contact information
Practice address
3670 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33311-1148
(954) 716-6101
Mailing address
6422 NW 65TH WAY, PARKLAND, FL 33067-1503
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/16/2018
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